Ndika Fomukong
P.A.C | Nurse Practitioner - Primary Care
6470 Van Nuys Blvd Ste D, Van Nuys
California, 91401-1499
323-733-7242
Ndika Fomukong is a Van Nuys, California based nurse practitioner who is specialized as Primary Care NP. Active license number of Ndika Fomukong is NP 17180 for Primary Care NP in California. His current practice location is 6470 Van Nuys Blvd Ste D, Van Nuys. Patients can reach him at 323-733-7242 or can fax him at 310-975-1292. Ndika Fomukong is P.A.C with specialization in Primary Care NP and his NPI number (Unique professional ID assigned by NPPES) is 1497700066.
Ndika Fomukong is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Ndika Fomukong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ndika Fomukong |
| Specialization: | Nurse Practitioner - Primary Care (PCNP) |
| Gender: | Male |
| Credentials: | P.A.C |
| Practice Address: | 6470 Van Nuys Blvd Ste D, Van Nuys,
California, 91401-1499 |
| Phone: | 323-733-7242 |
| Fax: | 310-975-1292 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1497700066 |
| NPI Enumeration Date: | 23 May, 2006 |
| NPI Last Update On: | 10 Apr, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ndika Fomukong are as mentioned below.
| License Number | Specialization | State | Status | |
| NP 17180 | Primary Care NP | California | Primary | |
| PA17839 | Physician Assistant | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ndika Fomukong
6470 Van Nuys Blvd Ste D,
Van Nuys, California |
| Zip: | 91401-1499 |
| Phone Number: | 323-733-7242 |
| Fax Number: | 310-975-1292 |
Patients can reach Ndika Fomukong at
6470 Van Nuys Blvd Ste D, Van Nuys, California or can
call to book an appointment on 323-733-7242.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.