Individual provider Active NPI

Fidelia Onyebuchi Nnachetam

  • Family Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1992156962
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
567085 Issued in CA
Practice address
8611 Crenshaw Blvd Ste 210
Inglewood, CA 90305-3306
Phone
(310) 910-8372
Fax
(310) 672-2280
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95003898 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 567085- CA
Family Nurse Practitioner 363LF0000X 567085 CA Primary

Addresses

Primary practice location

8611 Crenshaw Blvd Ste 210
Inglewood, CA 90305-3306

Mailing address

9140 S Nobel Way
Inglewood, CA 90305-1881
Phone (310) 910-8372

Other names 1

  • Fidelia Onyebuchi Dike Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916002519 CA Practitioner - Nurse Practitioner 7113345588 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Tehrani MD ApcGroup PAC ID 7810204575, 9 clinicians
SFS Medical Group, IncGroup PAC ID 5597158246, 3 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 108
Long Beach, CA 90804-2126
Phone (562) 498-2481

8611 Crenshaw Blvd
Inglewood, CA 90305-3306
Phone (310) 910-8372

9140 S Nobel Way
Inglewood, CA 90305-1881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
567085CAMDFamily Nurse Practitioner
567085-CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SFS Medical Group, Inc Psychiatric/Mental Health CurrentSince Dec 11, 2021 Accepting new patients
Wellcare Valley Medical Group Inc Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
A&E Medical Group-a Professional Nursing Corporation Family CurrentSince Sep 1, 2023 Accepting new patients
Michael Tehrani MD Apc CurrentSince Dec 14, 2022 Accepting new patients
Paramount Healthcare - a Professional Nursing Corporation PastSince Sep 3, 2025 Accepting new patients

Locations

600 N Brand Blvd
Ste 612
Glendale, CA 91203
Phone (818) 239-9293

10324 Balboa Blvd
Ste 225
Granada Hills, CA 91344
Phone (747) 370-6986

8611 Crenshaw Blvd
Ste 212
Inglewood, CA 90305

8611 Crenshaw Blvd
Ste 210
Inglewood, CA 90305
Phone (310) 910-8372

1703 Termino Ave
Ste 108
Long Beach, CA 90804
Phone (562) 498-2481

Interoperability endpoints

  • Direct secure messaging: sfsmedicalgroupinc.fideliannachetam@152378.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1992156962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 S NOBEL WAY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051881",
            "telephone_number": "310-910-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 CRENSHAW BLVD STE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903053306",
            "telephone_number": "310-910-8372",
            "fax_number": "310-672-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNACHETAM",
        "first_name": "FIDELIA",
        "middle_name": "ONYEBUCHI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95003898",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "567085-",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "567085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIDELIA",
            "last_name": "DIKE",
            "middle_name": "ONYEBUCHI",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.