EMMANUEL IFEMAZI PMHNP
NPI 1558052159
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA
About Emmanuel Ifemazi Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMANUEL IFEMAZI PMHNP (NPI 1558052159) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95025107) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Emmanuel Ifemazi Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARDENA, CA 90248
GARDENA, CA 90248
GARDENA, CA 90248
GARDENA, CA 90248
GARDENA, CA 90248
GARDENA, CA 90248
GARDENA, CA 90248
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 Emmanuel Ifemazi's NPI number?
The NPI number for Emmanuel Ifemazi is 1558052159. It was assigned to this individual provider in the NPPES registry on May 16, 2023.
Where is Emmanuel Ifemazi located?
Emmanuel Ifemazi practices at 1225 W 190th St Ste 280, Gardena, CA 90248. The listed phone number is (877) 515-8113.
What is Emmanuel Ifemazi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Emmanuel Ifemazi enrolled in Medicare?
Yes. Emmanuel Ifemazi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Emmanuel Ifemazi accept?
Health plans from Providence Health Plan list Emmanuel Ifemazi 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 Emmanuel Ifemazi was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Emmanuel Ifemazi, PMHNP · NPI 1558052159
Psychiatric/Mental Health physician in Gardena, California. Individual provider, active in the CMS NPPES registry since May 16, 2023.
## Identity
- **NPI:** 1558052159 (Entity type: Individual)
- **Enumerated:** May 16, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95025107 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1225 W 190TH ST STE 280, Gardena, CA 90248-4305
- **Phone:** (877) 515-8113
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558052159) · Data from the CMS NPPES public registry.