Individual provider Active NPI

Rita Ozioma Onwenna, DNP, RN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montebello, CA
National Provider Identifier
1003463100
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17442 Issued in CA
Practice address
123 S. Montebello Blvd
Montebello, CA 90640-4729
Phone
(323) 314-2869
Fax
(323) 887-3126
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 17442 CA Primary
Nurse Practitioner 363L00000X 17442 CA
Registered Nurse 163W00000X 555445 CA
Family Nurse Practitioner 363LF0000X 17442 CA

Addresses

Primary practice location

123 S. Montebello Blvd
Montebello, CA 90640-4729

Mailing address

123 S. Montebello Blvd
Montebello, CA 90640-4729
Phone (323) 314-2869

Other names 1

  • Dr. Rita Ozioma Onwenna-Aninyei; Osaji Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220827000310 CA Practitioner - Nurse Practitioner 6608250485 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
555445CAMDRegistered Nurse
17442CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Multi-Specialty CurrentSince Oct 20, 2022 Accepting new patients
Ehab Yacoub MD Inc. Multi-Specialty CurrentSince Aug 22, 2022 Accepting new patients

Locations

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1003463100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S. MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404729",
            "telephone_number": "323-314-2869",
            "fax_number": "323-887-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404729",
            "telephone_number": "323-314-2869",
            "fax_number": "323-887-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWENNA",
        "first_name": "RITA",
        "middle_name": "OZIOMA",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "17442",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17442",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "555445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "ONWENNA-ANINYEI; OSAJI",
            "middle_name": "OZIOMA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.