Ada Grace Obah, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

95019561 Issued in CA

Practice address

2100 E Anaheim St Ste B
Long Beach, CA 90804-3419

Phone

(562) 478-4102

Fax

(562) 478-4105

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Nurse Practitioner

Practice roles

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.

• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1245623156

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1114670882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043419",
            "telephone_number": "562-478-4102",
            "fax_number": "562-478-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST STE B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043419",
            "telephone_number": "562-478-4102",
            "fax_number": "562-478-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAH",
        "first_name": "ADA",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "95019561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eclinicalworks",
            "affiliation": "N",
            "address_1": "2100 E Anaheim St Ste B",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908043419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea O'Reilly
• Daryuen Teng O'Rourke, MFT
• Megan Chinen Oakes, MD
• OB/GYN University Associates - Todd Cancer Institute Pavilion Long Bea
• Oluwatomisin Obafemi
• Diane A Obakhume
• Osaruwense Obayagbonna
• Vacharee Sudhinaraset Oberbeck, PHARMD
• Laurel Roberta Oberg, P.T.
• Jenna Nicole Oberly

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.