Godwin Okungbowa

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17828 Issued in CA

Practice address

3000 L St
Sacramento, CA 95816-5248

Phone

(916) 737-7121

Fax

(916) 737-7135

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

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

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gokungbowa769574@direct.ochin.org
• Direct secure messaging: godwin.okungbowa.p1@direct.wellspacehealth.nextgenshare.com

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.

• County of Solano

  • Public Health or Welfare Agency
  • Fairfield, CA
  • NPI 1508072588
  Medicare reassignment
• County of Solano

  • Federally Qualified Health Center (FQHC)
  • Fairfield, CA
  • NPI 1083845275
  NPD
• County of Solano

  • State or Local Public Health Clinic/Center
  • Vallejo, CA
  • NPI 1730391053
  NPD
• River City Medical Group, Inc.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1083722516
  NPD (past)
• Wellspace Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1124257324
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104835966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 MARYSVILLE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384512",
            "telephone_number": "916-563-7230",
            "fax_number": "916-563-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165248",
            "telephone_number": "916-737-7121",
            "fax_number": "916-737-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNGBOWA",
        "first_name": "GODWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ositadimma Okonkwo
• Rhonda Okonkwo
• Oluchi Ogechi Okoro
• Oksana Oksentiuk
• Lillian A Okumu, APCC
• William Hideo Okuno, R.PH.
• Oluwaseyi Okusanya, PA-C
• Ngozi Okwale
• Linda Ifeoma Okwu, NP-C
• Francis I Okwuosa, FNP-C

• Medical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.