NPIMap

Individual provider Active NPI

Kingsley Ofoegbu, M.D.

  • Family Medicine Physician
  • Inglewood, CA
National Provider Identifier
1285732354
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73040 Issued in CA
Practice address
323 N Prairie Ave Ste 401
Inglewood, CA 90301-4506
Phone
(310) 674-5353
Fax
(310) 674-7041
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A73040 CA
Family Medicine Physician 207Q00000X A73040 CA Primary

Addresses

Primary practice location

323 N Prairie Ave Ste 401
Inglewood, CA 90301-4506

Mailing address

323 N Prairie Ave Ste 401
Inglewood, CA 90301-4506
Phone (310) 674-5353

Other identifiers 1

IdentifierTypeStateIssuer
00A730400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000293 CA Practitioner - Internal Medicine 2163326992 Reassigns benefits to 1 organization
Practice locations: Inglewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

323 N Prairie Ave
Suite 401
Inglewood, CA 90301-4506
Phone (310) 674-5353

Hospital & facility affiliations

  • Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378
  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Lawndale Healthcare & Wellness Centre LLC Nursing home, Lawndale, CA, CCN 555816
  • East Terrace Rehabilitation & Wellness Centre, LP Nursing home, Los Angeles, CA, CCN 056114
  • Hawthorne Healthcare & Wellness Centre, LP Nursing home, Hawthorne, CA, CCN 555677
  • Driftwood Healthcare Center Nursing home, Torrance, CA, CCN 555114
  • Montrose Springs Skilled Nursing & Wellness Center Nursing home, Montrose, CA, CCN 056322

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Dec 28, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 28, 2019 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
Vernon Healthcare Center, LLC PastSince Jan 1, 2024 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
East Terrace Rehabilitation & Wellness Centre LP PastSince Jan 1, 2025 Accepting new patients

Locations

4126 Maine Ave
Baldwin Park, CA 91706
Phone (626) 653-0800

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Country Manor HealthcareLake View Terrace, CA, CCN 055002 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2023
May 6, 2026
Rockport Healthcare ServicesLos Angeles, CA, CCN 055167 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Rockport Healthcare ServicesLos Angeles, CA, CCN 056114 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
West Gardena Post AcuteGardena, CA, CCN 555410 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 13, 2022
Jun 13, 2022
Renew Health Consulting ServicesLos Angeles, CA, CCN 555139 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 21, 2021
Feb 21, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1285732354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE STE 401",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014506",
            "telephone_number": "310-674-5353",
            "fax_number": "310-674-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE STE 401",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014506",
            "telephone_number": "310-674-5353",
            "fax_number": "310-674-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOEGBU",
        "first_name": "KINGSLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A73040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.