DEEDEE EDOMWANDE CHUKUKA NURSE PRACTITIONER
NPI 1154104982
Nurse Practitioner - Psychiatric/Mental Health in Tustin, CA

Q: What is Deedee Chukuka's NPI number?

The NPI number for Deedee Chukuka is 1154104982. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Q: What is Deedee Chukuka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Deedee Chukuka was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2023PECOS Enrolled

18302 IRVINE BLVD STE 375, TUSTIN, CA 92780(714) 661-5407 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2026, Mar 20, 2025, Jun 13, 2024 and 2 more (5 updates tracked since 2023).

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About Deedee Edomwande Chukuka Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEDEE EDOMWANDE CHUKUKA NURSE PRACTITIONER (NPI 1154104982) is an individual psychiatric/mental health provider in Tustin, California, licensed in California (95028233) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154104982

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDEEDEE EDOMWANDE CHUKUKACredential: NURSE PRACTITIONER

Location Address18302 IRVINE BLVD STE 375Tustin, CA 92780-3435

Mailing Address18302 Irvine Blvd Ste 375Tustin, CA 92780-3435 · (562) 222-9172

Phone(714) 661-5407

Sole ProprietorYes

Enumeration DateAugust 15, 2023

Last NPPES UpdateApril 3, 20265 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1154104982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95028233

18302 IRVINE BLVD STE 375, Tustin, CA 92780

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deedee Edomwande Chukuka Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNE ALEXIS LIBAS ASW

Social Worker