Janet Agu, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Downey, CA
NPI 1982983508 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1982983508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 23549 (CA)
- Practice address
- 7765 Leeds St
Downey, CA 90242-3489 - Phone
- (844) 804-1933
- NPI assigned
- Aug 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Renew Behavorial Health Inc
Practice addresses (Care Compare)
17777 Ctr Court Dr N
Cerritos, CA 90703-9320
Phone (562) 644-2216
4000 Long Beach Blvd
Suite 228
Long Beach, CA 90807-2617
Phone (562) 637-3143
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922001734 | CA | Practitioner - Nurse Practitioner | 4183911928 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 533387 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 23549 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current |
Accepting new patients | |
| Mission City Community Network, Inc. | Current |
Accepting new patients |
Locations
15206 Parthenia St
Sepulveda, CA 91343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 533387 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 533387 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23549 | CA | Yes |
Addresses
Primary practice location
7765 Leeds St
Downey, CA 90242-3489
Mailing address
11200 Lucas St
Cerritos, CA 90703-1626
Phone (424) 400-7748
Other providers in Downey, CA
- Patrocinia Afkari
- Sohail Afra
- Richy Agajanian
- Ernest H Agatstein
- Tykisha Dwannique Agee
- Aylin D Aguila Ochoa
- Elizabeth Aguila
- Ashley Aguilar
- David Gilbert Aguilar
- Emeriee Aguilar
All providers in Downey, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.