Lawrence O Ogbechie, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A61959 Issued in CA

Practice address

2491 Pacific Ave
Suite #3
Long Beach, CA 90806-2900

Phone

(562) 989-1322

Fax

(562) 989-1512

NPI assigned

May 16, 2006

Last updated

May 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCIFBD/Endpoint/BCIFBD

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

• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1245623156

  Psychiatry

  Medicare reassignment NPD Authorized official
• Lawrence Ogbechie MD Inc

  dba Pacific Burnett Medical Clinic

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1588611461
  Authorized official Same address or phone
• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1902663305
  NPD
• Serenity Pace LLC

  • PACE Provider Organization
  • Long Beach, CA
  • NPI 1073476420
  NPD
• Step Up on Second Street Inc.

  dba Step Up on Second-San Bernardino

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353
  NPD
• Step Up on Second Street, Inc.

  dba Step Up on Second Street

  • Community/Behavioral Health Agency
  • Santa Monica, CA
  • NPI 1831228626
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1003868217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 S DIAMOND BAR BLVD",
            "address_2": "SUITE 406",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652203",
            "telephone_number": "562-989-1322",
            "fax_number": "562-989-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2491 PACIFIC AVE",
            "address_2": "SUITE #3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062900",
            "telephone_number": "562-989-1322",
            "fax_number": "562-989-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBECHIE",
        "first_name": "LAWRENCE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A61959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A619590",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID L OGBECHIE MD INC",
            "identifier": "954877267",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID MENTAL HEALTH LA",
            "identifier": "330815723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Oestreicher, N.P.
• Ofay Fitness & Health
• Miriam Ngozi Ofili, FNP
• Marc Ross Ofstein, M.D.
• Golamali Oftadeh, DMD
• Joy Onu Ogbonna
• Erin Lynn Ogden, ASW
• Angela Sarange Ogero
• Christiana Olukemi Ogunlade, NURSING
• Ifeanyichukwu Christopher Ogwuka

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.