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EMMANUEL IFEMAZI PMHNP
NPI 1558052159
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Active since May 16, 2023PECOS EnrolledAccepts Medicare Assignment
1225 W 190TH ST STE 280, GARDENA, CA 90248(877) 515-8113 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1558052159
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEMMANUEL IFEMAZICredential: PMHNP
Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305
Mailing Address1225 W 190th St Ste 280Gardena, CA 90248-4305 · (877) 515-8113
Phone(877) 515-8113
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 16, 2023
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1558052159 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 · 95025107
1225 W 190TH ST STE 280, Gardena, CA 90248
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID143677682
PECOS Enrollment IDI20231106002130
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Emmanuel Ifemazi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Mind Health Inc.
23 mi
Psychiatry
15445 VENTURA BLVD. SUITE 5, BOX # 257
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1619693256 (818) 342-5050
Senior Doc Integrated Med, PC
26 mi
Family Medicine
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1396526026 (855) 434-7763
Clarity Mental Wellness Inc
42 mi
Psychiatric/Mental Health
25350 MAGIC MOUNTAIN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
NPI 1861371379 (661) 451-7419
Central Coast Behavioral Health, Inc.
158 mi
Psychiatry
536 CAMINO MERCADO
Arroyo Grande, CA 93420
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1699112698 (805) 540-0279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 20

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

DR. JUAN CRISTOBAL RONDEAU MD
Psychiatry & Neurology (Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
SUNNY MAKOLO
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
DR. MANUEL RAMON MOTA-CASTILLO MD
Psychiatry & Neurology (Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
PUNAM PATEL
Psychiatry & Neurology (Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
GAVEENA BAGRI
Student in an Organized Health Care Education/Training Program
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
MS. ADALJIZA TAVERA PMHNP, FNP
Nurse Practitioner (Family)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (310) 515-8113
EVELYN GARCIA
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
GLORIA S ORIGEL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113

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.

Which organizations bill Medicare for Emmanuel Ifemazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanuel Ifemazi reassigns Medicare benefits to 4 organizations: Thrive Mind Health Inc. (Sherman Oaks, CA), Senior Doc Integrated Med, PC (Santa Ana, CA), Clarity Mental Wellness Inc (Valencia, CA) and Central Coast Behavioral Health, Inc. (Arroyo Grande, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmanuel Ifemazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.