Oge Oyoyo Ezeokwelume

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

759131 Issued in CA

Practice address

605 W Pleasant St
Coalinga, CA 93210-2428

Phone

(310) 908-2899

NPI assigned

Apr 26, 2021

Sex

Female

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

State licenses

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1104408459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932100332",
            "telephone_number": "310-908-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W PLEASANT ST",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102428",
            "telephone_number": "310-908-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEOKWELUME",
        "first_name": "OGE",
        "middle_name": "OYOYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "759131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eminence Healthcare Services, LLC
• Eminence Healthcare Services, LLC
• Donald C Ervin, PA-C
• Ashley Marie Espitia, PSYD
• Sarah Stephenson Evans, M.A., PSY.D.
• Seth Fallen
• Carlos Felix, A.A.
• Denise Louise Ferguson, PSY.D.
• James Joseph Flores, PHARMD.
• Perla Maria Flores, MSW

• All providers in Coalinga, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.