Individual provider Active NPI

Chris Okwuosa, M.D.

  • Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1114336260
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A170738 Issued in CA
Practice address
18310 US Highway 18
Apple Valley, CA 92307-2206
Phone
(760) 998-2312
Fax
(760) 242-3371
NPI assigned
Aug 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7296 NE
Surgery Physician 208600000X S9046 TX
Surgery Physician 208600000X A170738 CA Primary

Addresses

Primary practice location

18310 US Highway 18
Apple Valley, CA 92307-2206

Mailing address

11755 Malaga Dr Unit 1109
Rancho Cucamonga, CA 91730-8126
Phone (310) 850-6804

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cokwuosa1708288@oc.providencedirect.org
Direct Messaging Address cokwuosa1708288@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210408001241 CA Practitioner - General Surgery 7315235207 Reassigns benefits to 1 organization
I20260317001409 TX Practitioner - General Surgery 7315235207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

18310 US Hwy 18
Suite 200
Apple Valley, CA 92307-2206
Phone (760) 998-2312

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7296NEMDSurgery Physician
S9046TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 1, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2021 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Feb 23, 2026 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Sterling Regional Medcenter Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Chris Okwuosa MD, Corp Surgery PastSince May 25, 2025 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

18310 US Highway 18
Ste 200
Apple Valley, CA 92307
Phone (760) 998-2312

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cokwuosa1708288@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1114336260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 MALAGA DR UNIT 1109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308126",
            "telephone_number": "310-850-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072206",
            "telephone_number": "760-998-2312",
            "fax_number": "760-242-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUOSA",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-02",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "7296",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S9046",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A170738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cokwuosa1708288@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18300 US Highway 18",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923072206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cokwuosa1708288@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18310 US Highway 18 # 200",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923072206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.