Individual provider Active NPI

Emeka Bernard Okwuje, MD

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1154366987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A81449 Issued in CA
Practice address
2650 Camino del Rio N
Suite 355
San Diego, CA 92108-1621
Phone
(619) 851-6997
Fax
(619) 347-2427
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A81449 CA Primary

Addresses

Primary practice location

2650 Camino del Rio N
Suite 355
San Diego, CA 92108-1621

Mailing address

2650 Camino del Rio N
Suite 355
San Diego, CA 92108-1621
Phone (619) 851-6997

Other identifiers 1

IdentifierTypeStateIssuer
A81449OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707001910 HI Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 9830290550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81449CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154366987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N",
            "address_2": "SUITE 355",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081621",
            "telephone_number": "619-851-6997",
            "fax_number": "619-374-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CAMINO DEL RIO N",
            "address_2": "SUITE 355",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081621",
            "telephone_number": "619-851-6997",
            "fax_number": "619-347-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUJE",
        "first_name": "EMEKA",
        "middle_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A81449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A81449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.