Healthcare Provider Details

I. General information

NPI: 1376093013
Provider Name (Legal Business Name): OAKK CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1358 E HELMICK ST
CARSON CA
90746-3108
US

IV. Provider business mailing address

1358 E HELMICK ST
CARSON CA
90746-3108
US

V. Phone/Fax

Practice location:
  • Phone: 310-400-9939
  • Fax:
Mailing address:
  • Phone: 310-400-9939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ADAMMA T AMADI
Title or Position: OWNER
Credential: FNP
Phone: 310-400-9939