Emmanuel Ifemazi, PMHNP - Medicare Nurse Practitioner in Gardena, CA

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Emmanuel Ifemazi, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gardena, California. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Central Coast Behavioral Health Inc and his current practice location is 1225 W 190th St Ste 280, Gardena, California. You can reach out to his office (for appointments etc.) via phone at (877) 515-8113.

Emmanuel Ifemazi is licensed to practice in California (license number 95025107) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558052159.

Contact Information

Emmanuel Ifemazi, PMHNP
1225 W 190th St Ste 280,
Gardena, CA 90248-4305
(877) 515-8113
Not Available

Map and Direction




Provider's Profile

Full NameEmmanuel Ifemazi
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1225 W 190th St Ste 280, Gardena, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Emmanuel Ifemazi graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1558052159
  • Provider Enumeration Date: 05/16/2023
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143677682
  • Enrollment ID: I20231106002130

Medical Identifiers

Medical identifiers for Emmanuel Ifemazi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558052159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95025107 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Neighbor Care Home HealthWestlake village, CAHome health agency
Excellent In-home Care, IncWoodland hills, CAHome health agency
Mission Home Health Of Ventura, LlcOxnard, CAHome health agency
Hearten Home Health IncSimi valley, CAHome health agency
Home Health 4u, IncGranada hills, CAHome health agency
Community Memorial Hospital - VenturaVentura, CAHospital
Community Memorial Hospital - OjaiOjai, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emmanuel Ifemazi allows following entities to bill medicare on his behalf.
Entity NameSenior Doc Integrated Med PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396526026
PECOS PAC ID: 3375990286
Enrollment ID: O20231115001383
Entity NameCentral Coast Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699112698
PECOS PAC ID: 6204356660
Enrollment ID: O20250228000963
Entity NameThrive Mind Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619693256
PECOS PAC ID: 7911419577
Enrollment ID: O20250620001507
Entity NameClarity Mental Wellness Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861371379
PECOS PAC ID: 1153827373
Enrollment ID: O20251006001373

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmanuel Ifemazi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmanuel Ifemazi, PMHNP
1225 W 190th St Ste 280,
Gardena, CA 90248-4305

Ph: (877) 515-8113		Emmanuel Ifemazi, PMHNP
1225 W 190th St Ste 280,
Gardena, CA 90248-4305

Ph: (877) 515-8113

Reviews and Comments


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Jina Ko Yang, NP
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Phone: 909-576-0190    
Ms. Adaljiza Tavera, PMHNP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248
Phone: 310-515-8113    Fax: 310-538-2102

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.