Active NPI
Patrick Kosa Nwofor
- Counselor
- Carson, CA
National Provider Identifier
1144428061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- D8633547
- Practice address
- 17410 Scudder CT
Carson, CA 90746-1649 - Phone
- (310) 658-3267
- NPI assigned
- Jul 3, 2007
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | D8633547 | CA | Primary |
Addresses
Primary practice location
17410 Scudder CT
Carson, CA 90746-1649
Mailing address
2500 Wilshire Blvd
Los Angeles, CA 90057-4303
Phone (213) 380-9531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8633547 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1144428061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574303",
"telephone_number": "213-380-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17410 SCUDDER CT",
"city": "CARSON",
"state": "CA",
"postal_code": "907461649",
"telephone_number": "310-658-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOFOR",
"first_name": "PATRICK",
"middle_name": "KOSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "D8633547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
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- Chinedu Emmanuel Nwankwo, NP
- Bokeng Isange Nwengela
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- Oakk Care Inc. (OAKK CARE Residential Facility for the Elderly)
- Uzezi Joshua Obaroh
- Uzoma Victoria Obi, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.