MOKETTA NASHA HAMILTON NPI 1497568679

NPI Information

  • NPI: 1497568679
  • Provider Name: MOKETTA NASHA HAMILTON
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: 11546 216TH ST
    LAKEWOOD, CA
    ZIP 90715
  • Phone: (424) 414-3713

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NPI Details

Moketta Nasha Hamilton is a nursing home administrator in Lakewood, CA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Moketta Nasha Hamilton NPI is 1497568679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11546 216TH ST
LAKEWOOD, CA
ZIP 90715-535
Phone: (424) 414-3713

The enumeration date for this NPI number is 1/30/2025 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2172A00000XDriverD8112974CALIFORNIANo
3172V00000XCommunity Health WorkerNo
4175T00000XPeer SpecialistNo
5376G00000XNursing Home Administrator6073665740CALIFORNIAYes
6372500000XChore ProviderNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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