Pascal Eze

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030358 Issued in CA

Practice address

1823 E Denwall Dr
Carson, CA 90746-2935

Phone

(310) 707-5511

NPI assigned

Apr 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eze.pascal.p1@direct.ccchcenter.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.

• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964

  CA

  Medicare reassignment Care Compare group NPD
• Central Health Plan of California, Inc.

  • Health Maintenance Organization
  • Diamond Bar, CA
  • NPI 1386714772

  CA

  Medicare reassignment NPD
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760

  CA

  Medicare reassignment NPD
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  Care Compare group NPD
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1225673262
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Culver City, CA
  • NPI 1396380333
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Pasadena, CA
  • NPI 1497207229
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Porterville, CA
  • NPI 1578213740
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
  • NPI 1689219628
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Sherman Oaks, CA
  • NPI 1740930916
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vista, CA
  • NPI 1750163846
  Care Compare group
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • South Gate, CA
  • NPI 1811397888
  Care Compare group

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1134817166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 E DENWALL DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E DENWALL DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462935",
            "telephone_number": "310-707-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZE",
        "first_name": "PASCAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95116958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewezco Medical Supply
• Excel Housing and Stability Foundation
• Exos - Athletes' Performance Los Angeles LLC
• Eyesmile Optometry, Inc
• Ijeoma Eze
• Ezeani DDS Dental Corp
• Hyacinth Ezebilo Ezeani, DDS
• Ifeoma Lawretta Ezeani, OD
• Joann Nneka Ezeibe, RN, BSN
• Uzodinma Ezeibekwe

• All providers in Carson, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.