Ndika Fomukong, P.A.C

Individual Active
NPI 1497700066
Primary Care Nurse Practitioner Van Nuys, CA

Ndika Fomukong, P.A.C holds NPI 1497700066, with a primary taxonomy of primary care nurse practitioner and a practice location in Van Nuys, CA. The number was issued on May 23, 2006 and the NPPES record was last updated on April 10, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X NP 17180 (CA)
Physician Assistant 363A00000X PA17839 (CA)

Practice location

6470 Van Nuys Blvd Ste D
Van Nuys, CA 91401-1499
Phone: (323) 733-7242

Local context

Active NPPES records list 276 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 98 of them within 10 miles.

The same primary taxonomy is listed by 1,225 in California and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ndika Fomukong
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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