Individual provider Active NPI

Elijah Uzoma Wogu, DO

  • Neurological Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1164622908
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
8239 Issued in SD
Practice address
620 California Blvd
J
San Luis Obispo, CA 93401-2541
Phone
(805) 543-4319
Fax
(805) 543-0446
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 8239 SD Primary

Addresses

Primary practice location

620 California Blvd
J
San Luis Obispo, CA 93401-2541

Mailing address

1655 Dalidio Dr Unit 4156
San Luis Obispo, CA 93403-7036

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000098 CA Practitioner - Neurosurgery 7012048796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 California Blvd
Suite J
San Luis Obispo, CA 93401-2598
Phone (805) 543-9648

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion94
Laminectomy or laminotomy (partial removal of spine bones)31
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9318CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wogu & Wogu Neurosurgical and Spine Services Inc Neurological Surgery CurrentSince Aug 26, 2014 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

1655 Dalidio Dr
Unit 4156
Sn Luis Obisp, CA 93403

140 Casa St
Sn Luis Obisp, CA 93405
Phone (805) 242-4181

620 California Blvd
Ste J
Sn Luis Obisp, CA 93401
Phone (805) 543-4319

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFIDD/Endpoint/JFFIDD

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1164622908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 4156",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD",
            "address_2": "J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012541",
            "telephone_number": "805-543-4319",
            "fax_number": "805-543-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGU",
        "first_name": "ELIJAH",
        "middle_name": "UZOMA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SD",
            "license": "8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.