Ezenwanyi Ogbuji

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95037042 Issued in CA

Practice address

19438 Hillford Ave
Carson, CA 90746-2660

Phone

(424) 221-4884

NPI assigned

Sep 19, 2025

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

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1114899010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19438 HILLFORD AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462660",
            "telephone_number": "424-221-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19438 HILLFORD AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462660",
            "telephone_number": "424-221-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBUJI",
        "first_name": "EZENWANYI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95037042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taiwo Odukoya Odutola, OWNER
• Ofelia K. Costales, D.D.S., Inc.
• Obiogaranya Ofoegbu
• Chinweike Ogbodo, NP
• Ogban O Ogbu
• Michael Myungsup Oh, DMD
• Wi Chang Oh, L. AC.
• Young Sik Oh, L.AC
• Samuel C Ohajekwe, SOCIAL WORKER
• Ohana Medical Management Corporation

• Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.