Individual provider Active NPI

Jasmine Onyeka Bowers Obioha, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1174965016
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A140279 Issued in CA
Practice address
8484 Wilshire Blvd Ste 620
Beverly Hills, CA 90211-3234
Phone
(424) 428-0910
Fax
(424) 428-0911
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207RO0000X CA
Dermatology Physician 207N00000X A140279 CA Primary

Addresses

Primary practice location

8484 Wilshire Blvd Ste 620
Beverly Hills, CA 90211-3234

Mailing address

8484 Wilshire Blvd Ste 620
Beverly Hills, CA 90211-3234
Phone (424) 428-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 14, 2022 through Nov 14, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140279CAMDMarriage & Family Therapist
A140279CAMDDermatology Physician
207RO0000XCAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine Onyeka Obioha MD, Inc. Dermatology CurrentSince Dec 6, 2022 Accepting new patients

Locations

8484 Wilshire Blvd
Ste 620
Beverly Hills, CA 90211
Phone (323) 955-0919

Interoperability endpoints

  • Direct secure messaging: jbowersobioha170860@direct.cshs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1174965016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 620",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113234",
            "telephone_number": "424-428-0910",
            "fax_number": "424-428-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 620",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113234",
            "telephone_number": "424-428-0910",
            "fax_number": "424-428-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIOHA",
        "first_name": "JASMINE",
        "middle_name": "ONYEKA BOWERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "207RO0000X",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A140279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.