Imelda Okoli, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95001474 Issued in CA

Practice address

3831 Hughes Ave
Ste 506
Culver City, CA 90232-6860

Phone

(310) 280-9670

Fax

(310) 280-9675

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Tolwin Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Culver City, CA
  • NPI 1740227545
  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1275967341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "STE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326860",
            "telephone_number": "310-280-9670",
            "fax_number": "310-280-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "STE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326860",
            "telephone_number": "310-280-9670",
            "fax_number": "310-280-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLI",
        "first_name": "IMELDA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95001474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario A Ojeda Jr.
• Jan Okabe, PSYD
• Chigozie Cynthia Okafor
• Johnpaul Chukwuma Okechukwu
• Juanita Okemwa, B.D.S.
• Obianjuju Florence Okolo
• Stella Okolo, REGISTERED NURSE
• Ifeoma Rose Okongwu, RN
• Promise Okongwu
• Chiugo Sandra Okonkwo

• Psychiatric/Mental Health Nurse Practitioner in Culver City, CA
• Providers in Culver City, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.