AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043439813

AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) is a healthcare provider. based in El segundo, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. RN 606596 (CA). The NPI Number for AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) is 1043439813

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER)
NPI
1043439813
Phone
(323) 628-8671
Address
2101 ROSECRANS AVE # 3230
Enumeration Date
24 April 2007
Last Update Date
13 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9493661053
Graduation Year
2013 (13 years ago)
PAC ID
8729205463
Group Practice PAC ID
6103802855
Professional Enrollment ID
I20140804001845
Address ID
CA908062497LO3800XWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER)

  • 2101 ROSECRANS AVE # 3230

    EL SEGUNDO, CA 902454749

    Phone: (323) 628-8671

    Type: Location

  • 23035 frigate Ave

    Carson, CA 90745

    Phone: (310) 562-0166

    Type: Location

  • 23425 CRENSHAW BLVD #201

    TORRANCE, CA 90505

    Phone: (310) 562-0166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $3,148.

Total Amount is formed as General ($3,148) + Research ($0) + Ownership ($0) = $3,148.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($819).

Total Amount

$3,148

General + Research + Ownership

Payments

51

Total payment records

General Amount

$3,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140804001845INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90245)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103802855View full group profile

Reviews

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Frequently asked questions

Does AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) under NPI 1043439813.
Does the public listing show AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) as active?
AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER)'s NPI record reflects an active status in NPPES.
What does the directory say AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) does?
Insurance directories may phrase it differently, but here AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER) in El Segundo, California?
For routing, start with El Segundo, California for AMAKA LAURETTA ANYAOHA (NURSE PRACTITIONER), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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