FIDELIS NWAKI
NPI 1922422856
Registered Nurse - Psychiatric/Mental Health in View Park, CA
About Fidelis Nwaki NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIDELIS NWAKI (NPI 1922422856) is an individual psychiatric/mental health provider in View Park, California, licensed in California (626239) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fidelis Nwaki is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Fidelis Nwaki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90008
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 Fidelis Nwaki's NPI number?
The NPI number for Fidelis Nwaki is 1922422856. It was assigned to this individual provider in the NPPES registry on February 12, 2014.
Where is Fidelis Nwaki located?
Fidelis Nwaki practices at 3741 Stocker St, View Park, CA 90008. The listed phone number is (213) 507-0814.
What is Fidelis Nwaki's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.
Is Fidelis Nwaki enrolled in Medicare?
Yes. Fidelis Nwaki is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Fidelis Nwaki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fidelis Nwaki reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Fidelis Nwaki'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 Fidelis Nwaki was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fidelis Nwaki · NPI 1922422856
Psychiatric/Mental Health provider in View Park, California. Individual provider, active in the CMS NPPES registry since February 12, 2014.
## Identity
- **NPI:** 1922422856 (Entity type: Individual)
- **Enumerated:** February 12, 2014
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health · taxonomy 163WP0808X
- **State license:** 626239 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3741 STOCKER ST, View Park, CA 90008-5109
- **Phone:** (213) 507-0814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922422856) · Data from the CMS NPPES public registry.