Odochi Nwagwu MD Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ODOCHI NWAGWU MD INC

Doing business as

Spectrum Urgent Care

Practice address

15095 Amargosa Rd
Suite 280
Victorville, CA 92394-1879

Phone

(760) 952-9100

Fax

(760) 952-9228

NPI assigned

Jan 5, 2011

Last updated

Apr 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Odochi N Nwagwu, M.D.NPI 1225010903

Title

Ceo

Phone

(760) 403-5571

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SPECTRUM URGENT CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Odochi N Nwagwu, MD

  • Pediatrics Physician
  • Adelanto, CA
  • NPI 1225010903
  Authorized official Same address or phone

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1174827125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 RANCHO RD",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012700",
            "telephone_number": "760-246-9555",
            "fax_number": "760-246-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD",
            "address_2": "SUITE 280",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941879",
            "telephone_number": "760-952-9100",
            "fax_number": "760-952-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODOCHI NWAGWU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "ODOCHI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-403-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18372",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G770491",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225010903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Ocegueda Salazar
• Abigail Ochoa
• Rito Ochoa
• Ninos M Oda, M.D.
• Innocent Chinedu Odinigwe
• Imajanti Oei, REGISTEREDPHARMACIST
• Officium Urgent Care, Inc.
• Rita A. Ogunlana, PSY.D
• Ikechukwu Anele Ohiaeri, M.D.
• Oluyombo Ojo Ojebiyi, PA-C

• Urgent Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.