npidexNPI registry + Medicare data

NDIKA FOMUKONG, P.A.C

Primary Care Nurse Practitioner · VAN NUYS, CA

Individual Active NPI 1497700066

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Primary Care Nurse Practitioner363LP2300X✓NP 17180CA
Physician Assistant363A00000XPA17839CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.