Active NPI
Elijah Uzoma Wogu, DO
- Neurological Surgery Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 8239
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Dignity Health Home Health
- Adventist Health Sierra Vista
- Adventist Health Twin Cities
- French Hospital Medical Center
- Marian Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 94 |
| Laminectomy or laminotomy (partial removal of spine bones) | 31 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9318 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wogu & Wogu Neurosurgical and Spine Services Inc | Neurological Surgery | Current | 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
- 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.
-
- Neurological Surgery Physician
- San Luis Obispo, CA
- NPI 1730596495
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.