Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genna A Teodosio

Individual provider Registered Nurse · NPI 1689422214

Genna A Teodosio is a Nurse Practitioner in Granada Hills, California. Qualified in 2020, 6 years ago. Practices with Izuchukwu Okpara MD Inc, a 46-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2024

Practice location Address checks out

15911 San Fernando Mission Blvd
Granada Hills, CA 91344-3934
Phone: (661) 319-6662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95096619 (CA)

Record details

NPI number1689422214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 7, 2024
Mailing address15911 San Fernando Mission Blvd, Granada Hills, CA 91344-3934

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Izuchukwu Okpara Md Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Granada Hills