Ndika Fomukong, PAC - Medicare Nurse Practitioner in King City, CA

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Ndika Fomukong, PAC is a medicare enrolled "Nurse Practitioner - Primary Care" in King City, California. His current practice location is 210 Canal St, King City, California. You can reach out to his office (for appointments etc.) via phone at (831) 385-5471.

Ndika Fomukong is licensed to practice in California (license number NP 17180) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497700066.

Contact Information

Ndika Fomukong, PAC
210 Canal St,
King City, CA 93930-3432
(831) 385-5471
(831) 385-5940

Map and Direction




Provider's Profile

Full NameNdika Fomukong
GenderMale
SpecialityNurse Practitioner - Primary Care
Location210 Canal St, King City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497700066
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 11/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0648291302
  • Enrollment ID: I20060530000150

Medical Identifiers

Medical identifiers for Ndika Fomukong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497700066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA17839 (California)Secondary
363LP2300XNurse Practitioner - Primary Care NP 17180 (California)Primary

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. Ndika Fomukong 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
Ndika Fomukong, PAC
210 Canal St,
King City, CA 93930-3432

Ph: (831) 385-5471		Ndika Fomukong, PAC
210 Canal St,
King City, CA 93930-3432

Ph: (831) 385-5471

Reviews and Comments


Nurse Practitioner Nurses in King City, CA

Ms. Barbara Corinne Pekema, RN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 210 Canal St, King City, CA 93930
Phone: 831-385-5471    
Mitchell Morta,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 E San Antonio Dr, King City, CA 93930
Phone: 831-385-5944    
Mrs. Mirella Mendoza, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 122 E San Antonio Dr, King City, CA 93930
Phone: 831-385-5944    
Ms. Nancy Rivas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 S 1st St, King City, CA 93930
Phone: 831-737-3588    

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.