Grace E Osuji

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95010482 Issued in CA

Practice address

17042 Downey Ave Apt D
Bellflower, CA 90706-5589

Phone

(323) 594-4101

NPI assigned

Dec 14, 2019

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

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Infinity Mobile Medical Group

  • Primary Care Clinic/Center
  • Encino, CA
  • NPI 1912727835
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1295373876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17042 DOWNEY AVE APT D",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065589",
            "telephone_number": "323-594-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17042 DOWNEY AVE APT D",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065589",
            "telephone_number": "323-594-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUJI",
        "first_name": "GRACE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95010482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIOONER",
            "identifier": "95010482",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BELLFLOWER",
            "affiliation": "N",
            "address_1": "17042 Downey Ave Apt D",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907065589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas A Ortenzo, PA
• Edgar Ortiz Morales, ATC
• Josephine D Ortiz, NP
• Tilden N. Osako, MD
• Wendell A. Osborne, MD
• Elizabeth H. Owyang, MD
• Kenneth Hajime Oyadomari, PA-C
• Denise Pacheco
• Pacificcare Rehab, Inc.
• Charmaine L Padua-Empleo, PA-C

• Family Medicine Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.

Verify at the official NPI Registry.