Individual provider Active NPI

Samuel R Obiekwe, M.D.

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1003965153
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C51428 Issued in CA
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

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C514280MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000600 CA Practitioner - Emergency Medicine 2567361108 Reassigns benefits to 12 organizations

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
Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians
Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians
Riverside Emergency Physicians Medical GroupGroup PAC ID 0547173882, 25 clinicians

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 Hospital, Riverside, CA, CCN 050102
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
83.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Izuchukwu Okpara MD Inc Surgery CurrentSince Jul 16, 2025 Accepting new patients
Can Emergency Physicians Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
East la Emergency Physicians, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Southland Emergency Medical Associates Inc CurrentSince Dec 25, 2023 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
Coast Plaza Emergency Physicians Group Inc CurrentSince Sep 9, 2023 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
ER Physicians Medical Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Can Emergency Physicians Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Huntington Park Emergency Physicians, Inc CurrentSince Jul 1, 2018 Accepting new patients
Emgi-Ball, LLC Past Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
Connorsville Emergency Group PC Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients
Sierra Rural Physicians, Inc. Past Accepting new patients
Emergency Physician Services of New York, P.C. Past Accepting new patients
Central California Radiology Associates Inc Past Accepting new patients
Exigence Medical of Hornell, PLLC Past Accepting new patients
Keystone Medical Services of New York, PC Past Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Trinity Medical Center Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Surgery Past Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients
Cep America - California Past Accepting new patients

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.

View all 29

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.