Tessy Okafor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

331881635 Issued in CA

Practice address

15445 Legendary Dr
Moreno Valley, CA 92555-5852

Phone

(818) 277-8831

NPI assigned

Feb 6, 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

Other names 1

• Tessy Ndidi Obidum Former name

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1124832290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15445 LEGENDARY DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555852",
            "telephone_number": "818-277-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15445 LEGENDARY DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555852",
            "telephone_number": "818-277-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "TESSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "331881635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSY",
            "last_name": "OBIDUM",
            "middle_name": "NDIDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Oh, DC
• Maxwell Ohikhuare, M.D.
• Ohs Medical Center
• Cesar Noe Ojeda Jr.
• Divine Oluwatosin Ojelade, NP
• Chitoo I Okonkwo, B.PHARM
• Blessing A. Okoro Rellias, PH.D.
• Olabode Olayinka Olatunji, PHARM. D
• Crystal Olea
• Jacob Daniel Olenak, DO

• Assisted Living Facility in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.