Boniface O Onubah, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A52415 Issued in CA

Practice address

14560 Magnolia St
Ste 101
Westminster, CA 92683-4791

Phone

(714) 889-2150

NPI assigned

Apr 11, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Viscera Medical Diagnostics Inc

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1730497728
  NPD (past) Authorized official
• Total Care Home Health Services Inc.

  • Home Health Agency
  • Long Beach, CA
  • NPI 1265722599
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013131390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 MAGNOLIA ST",
            "address_2": "STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834791",
            "telephone_number": "714-889-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 MAGNOLIA ST",
            "address_2": "STE 101",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834791",
            "telephone_number": "714-889-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUBAH",
        "first_name": "BONIFACE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A52415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Shigeru Omoto, DDS
• Kiet A On, D. C.
• Thao Le Onate, LVN
• Chau Ong, PHARM.D
• Phuong Mai Ong
• Orange Coast Medical & Rehab, Inc.
• Orange Coast Medical Incorporated
• Orange County Health Care Agency
• Orange County Home Health, Inc.
• Orange County Hospice & Palliative Care

• Neurology Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.