DR. IZUNNA VINCENT EWUDO DNP, FNP-C, PMHNP-BC
NPI 1255786646
Nurse Practitioner - Psychiatric/Mental Health in Marina Del Rey, CA

Q: What is Izunna Ewudo's NPI number?

The NPI number for Izunna Ewudo is 1255786646. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Izunna Ewudo'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 Izunna Ewudo was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 May 04, 2016PECOS Enrolled

13400 WASHINGTON BLVD STE 105, MARINA DEL REY, CA 90292(310) 200-8957 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Nov 28, 2022, Sep 2, 2022 and 1 more (4 updates tracked since 2017).

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About Dr. Izunna Vincent Ewudo Dnp, Fnp-c, Pmhnp-bc NPPES

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

DR. IZUNNA VINCENT EWUDO DNP, FNP-C, PMHNP-BC (NPI 1255786646) is an individual psychiatric/mental health provider in Marina Del Rey, California, licensed in California (95004185) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255786646

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. IZUNNA VINCENT EWUDOCredential: DNP, FNP-C, PMHNP-BC

Location Address13400 WASHINGTON BLVD STE 105Marina Del Rey, CA 90292-5632

Mailing Address13400 Washington Blvd Ste 105Marina Del Rey, CA 90292-5632 · (310) 200-8957 · Fax (310) 564-2295

Phone(310) 200-8957

Sole ProprietorNo

Enumeration DateMay 4, 2016

Last NPPES UpdateJuly 28, 20234 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1255786646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95004185

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95004185 (CA)

13400 WASHINGTON BLVD STE 105, Marina Del Rey, CA 90292

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Izunna Vincent Ewudo Dnp, Fnp-c, Pmhnp-bc 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 90292 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Izunna Ewudo's NPI number?

The NPI number for Izunna Ewudo is 1255786646. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Izunna Ewudo located?

Izunna Ewudo practices at 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292. The listed phone number is (310) 200-8957.

What is Izunna Ewudo's specialty?

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

Is Izunna Ewudo enrolled in Medicare?

Yes. Izunna Ewudo is registered in the Medicare PECOS enrollment system.

What insurance does Izunna Ewudo accept?

Health plans from Providence Health Plan list Izunna Ewudo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Izunna Ewudo was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.