Ndika Fomukong, PAC
Ndika Fomukong, PAC is a Primary Care Nurse Practitioner in Van Nuys, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
6470 Van Nuys Blvd Ste DVan Nuys, CA 91401-1499
Phone: (323) 733-7242
Fax: (310) 975-1292
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence NP 17180 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA17839 (CA) |
Record details
| NPI number | 1497700066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | April 10, 2026 |
| Certification date | April 10, 2026 |
Other providers in Van Nuys
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Katherine Yadhira Hernandez Melendez, FNP
7335 Van Nuys Blvd Ste 117, Van Nuys, CA 91405-1951 · (747) 266-2666
-
Journey Care Solutions
14141 Covello St Ste 9C, Van Nuys, CA 91405-1448 · (469) 676-5378
-
Francis Phong Nguyen, FNP
13801 Oxnard St Apt 110, Van Nuys, CA 91401-3977 · (949) 690-1119