Active NPI
Samuel R Obiekwe, M.D.
- Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C51428
- Practice address
- 113 W G St # 315
San Diego, CA 92101-6096 - Phone
- (909) 816-1032
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C51428 | CA | Primary |
Addresses
Primary practice location
113 W G St # 315
San Diego, CA 92101-6096
Mailing address
113 W G St # 315
San Diego, CA 92101-6096
Phone (909) 816-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C514280 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13222 Bloomfield Ave
Norwalk, CA 90650-3249
Phone (562) 863-4763
14662 Newport Ave
Tustin, CA 92780-6064
Phone (714) 619-7700
28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538
3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 352-5666
Hospital & facility affiliations
- Parkview Community Hospital Medical Center
- Southern California Hospital at Hollywood
- Pacifica Hospital of the Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
4060 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 224-2040
6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 306-5502
4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729
13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945
1801 W Olympic Blvd
#2611
Pasadena, CA 91199
5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700
28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855
Organizations & group practices 29
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.
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1760648539
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1265810006
-
- Surgery Physician
- Valencia, CA
- NPI 1679004592
-
- Emergency Medicine Physician
- Riverside, CA
- NPI 1972539039
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1912308446
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1588198055
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1063765907
-
- Emergency Medicine Physician
- Huntington Park, CA
- NPI 1053747121
-
- Emergency Medical Services (Emergency Medicine) Physician
- Victorville, CA
- NPI 1437918307
-
- Emergency Medicine Physician
- Anaheim, CA
- NPI 1932640935
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1609170232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Sun Valley, CA
- NPI 1548328750
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1003965153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 W G ST # 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016096",
"telephone_number": "909-816-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W G ST # 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016096",
"telephone_number": "909-816-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBIEKWE",
"first_name": "SAMUEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C51428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C514280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.