Helen Fufor Ntung
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · San Pedro, CA
NPI 1992219661 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1992219661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 9500800 (CA)
- Practice address
- 1386 W 7TH St
San Pedro, CA 90732-3517 - Phone
- (310) 241-4335
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Roads Foundation, Inc
Alliance for Wellness Inc
Addis Medical Group a Medical Corporation
Manolito B. Fidel, M.D., Inc
Dadoyan Behavioral Medical Group Inc
Practice addresses (Care Compare)
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222
23700 Camino del Sol
Torrance, CA 90505-5017
Phone (310) 530-1151
5000 Van Nuys Blvd
Suite 202
Sherman Oaks, CA 91403-1717
Phone (818) 461-8911
Hospital & facility affiliations
- Centinela Hospital Medical Center
- Saint Francis Medical Center
- Southern California Hospital at Hollywood
- Providence Little Company of Mary Med Ctr Torrance
- Coast Plaza Hospital
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 |
|---|---|---|---|---|
| I20190712002652 | CA | Practitioner - Nurse Practitioner | 6406181411 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500800 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addis Medical Group a Medical Corporation | Current |
Accepting new patients | |
| The Roads Foundation, Inc. | Current |
Accepting new patients | |
| Helen Holistic Nursing Corporation Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Matthew Wong MD, Inc | Current |
Accepting new patients | |
| Manolito B. Fidel, M.D., Inc | Current |
Accepting new patients | |
| Dadoyan Behavioral Medical Group Inc | Current |
Accepting new patients | |
| Alliance for Wellness, Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
| The Roads Foundation, Inc | Past | Accepting new patients | |
| Tamika Henry MD Inc | Past |
Accepting new patients |
Locations
10802 College Pl
Cerritos, CA 90703
Phone (562) 904-3998
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201
2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387
16434 Ishida Ave
Gardena, CA 90248
Phone (469) 460-8941
4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155
4800 E Los Coyotes Diagonal
Long Beach, CA 90815
Phone (310) 627-5850
4525 E Atherton St
Fl 2
Long Beach, CA 90815
Phone (562) 422-2240
5000 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403
Phone (818) 461-8911
13351 Riverside Dr
Ste D
Sherman Oaks, CA 91423
Phone (310) 271-1205
23700 Camino del Sol
Torrance, CA 90505
Phone (310) 530-1151
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9500800 | CA | Yes |
Addresses
Primary practice location
1386 W 7TH St
San Pedro, CA 90732-3517
Mailing address
1386 W 7TH St
San Pedro, CA 90732-3517
Phone (310) 241-4335
Other providers in San Pedro, CA
- Norman Cantor, M.D., Inc.
- Nova Medical Center
- Nova Medical Center, a Professional Corporation
- Andrew P Novom
- Priscilla S Novom
- Maureen Nunn
- Colleen O'Donnell
- Michael T O'Donnell
- Samantha Louise O'Donnell
- Colleen Marie O'Hurley
All providers in San Pedro, 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 Nov 16, 2017. 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.