Ogbonna Iwuamadi Olelewe, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95006315 Issued in CA

Practice address

11712 S. Hawthorne Blvd
Hawthorne, CA 90250

Phone

(310) 679-9293

Fax

(310) 679-4017

NPI assigned

Mar 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ogbonna.olelewe.1@22909.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22909/brand/1/csg/1/fhir/r4

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.

• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Sarah S Olelewe, MD, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Hawthorne, CA
  • NPI 1386724383
  Medicare reassignment NPD
• Medcom Global Inc.

  dba Medcom Psychiatry & Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Hawthorne, CA
  • NPI 1497326789
  Authorized official Same address or phone
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stanton, CA
  • NPI 1174757967
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Clarke Lew Medical Corp

  dba Illumination Foundation Medical Group

  • Community Health Clinic/Center
  • Fullerton, CA
  • NPI 1205444742

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1043751886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907140507",
            "telephone_number": "562-277-2586",
            "fax_number": "562-633-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 S. HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-679-9293",
            "fax_number": "310-679-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLELEWE",
        "first_name": "OGBONNA",
        "middle_name": "IWUAMADI",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006315",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timileyin Elijah Ogungbamila, LICENSED VOCATIONAL
• Oluwatoyin Elizabeth Ogunleye
• Anyiam S Ohaeri
• Ike P Okonji
• Blessing Okpalaugo
• Sarah Sam Olelewe, M.D.
• Mia Katherine Oliver, DPT
• Scott Olomanu
• Elizabeth Temitope Oluwole
• Osemwota Omoigui, MD

• Psychiatric/Mental Health Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.