MR. SAMUEL UCHECHUKWU CHILAKA NP
NPI 1679140644
Nurse Practitioner - Psychiatric/Mental Health in Vista, CA

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
1000 VALE TERRACE DR, VISTA, CA 92084(844) 308-5003 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2023, Jan 18, 2023, Aug 14, 2021 and 1 more (4 updates tracked since 2021).

About Mr. Samuel Uchechukwu Chilaka Np NPPES

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

MR. SAMUEL UCHECHUKWU CHILAKA NP (NPI 1679140644) is an individual psychiatric/mental health provider in Vista, California, licensed in California (95017483) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679140644
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SAMUEL UCHECHUKWU CHILAKACredential: NP
Location Address1000 VALE TERRACE DRVista, CA 92084-5218
Mailing Address3949 Thornburgh PlTorrance, CA 90504-1116 · (323) 327-3167
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 8, 2021
Last NPPES UpdateJune 2, 20234 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1679140644 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 · 95017483
1000 VALE TERRACE DR, Vista, CA 92084

Secondary Practice Locations 2

Location 13949 Thornburgh PlTorrance, CA 90504-1116 · Phone (323) 327-3167
Location 21225 W 190th St Ste 280Gardena, CA 90248-4305 · Phone (310) 515-8113 · Fax (310) 538-2102

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

Mr. Samuel Uchechukwu Chilaka Np 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 ID8527425891
PECOS Enrollment IDI20230531002448
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

3

Medicare enrollment records show Samuel Chilaka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
Nurse Practitioner
3535 TORRANCE BLVD STE 13
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1201 INDUSTRIAL ST
Redding, CA 96002
  • Reassigned Medicare billing, California enrollment
  • 144 clinicians in this Medicare group

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 92084 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084

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 Samuel Chilaka's NPI number?

The NPI number for Samuel Chilaka is 1679140644. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Samuel Chilaka located?

Samuel Chilaka practices at 1000 Vale Terrace Dr, Vista, CA 92084. The listed phone number is (844) 308-5003.

What is Samuel Chilaka's specialty?

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

Is Samuel Chilaka enrolled in Medicare?

Yes. Samuel Chilaka 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 Samuel Chilaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Chilaka reassigns Medicare benefits to 3 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Lifeline Walk In Medical & Mental Health Nursing Clinic, Inc (Torrance, CA) and Shasta Community Health Center (Redding, 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 Samuel Chilaka'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 Samuel Chilaka was last updated on June 2, 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.