Active NPI
Okey Onyeagucha
- Assisted Living Facility
- Oakland, CA
National Provider Identifier
1023928330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 019201741
- Practice address
- 3917 Opal St
Oakland, CA 94609-2626 - Phone
- (510) 459-5056
- NPI assigned
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 019201741 | CA | Primary |
Addresses
Primary practice location
3917 Opal St
Oakland, CA 94609-2626
Mailing address
3917 Opal St
Oakland, CA 94609-2626
Phone (510) 459-5056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1023928330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 OPAL ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092626",
"telephone_number": "510-459-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 OPAL ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092626",
"telephone_number": "510-459-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEAGUCHA",
"first_name": "OKEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "019201741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.