Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kenneth Ezenwa, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1003379959

Kenneth Ezenwa, RN is a Nurse Practitioner in Canyon Country, California. Qualified in 2020, 6 years ago. Practices with Inland Psychiatric Medical Group Inc, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

17467 Honey Maple St
Canyon Country, CA 91387-6870
Phone: (661) 212-5273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95080178 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95080178 (CA)

Record details

NPI number1003379959
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

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 Inland Psychiatric Medical Group Inc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients33
Services billed 191 a service is one billed item, such as a visit, a test or a procedure
Average patient age58

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,595 67 payments · a meal or drink at a meeting or visit, not a fee
Education $5 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Inland Psychiatric Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 121 clinicians in the practice; 12 are shown here.

Other providers in Canyon Country