Amani Odom

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114538 Issued in CA

Practice address

3281 E Guasti Rd Ste 440
Ontario, CA 91761-7635

Phone

(909) 323-7100

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1306561584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S HIGHLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191751",
            "telephone_number": "323-938-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 E GUASTI RD STE 440",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617635",
            "telephone_number": "909-323-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 E Green St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062419",
            "country_code": "US",
            "telephone_number": "626-695-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "AMANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ochoa
• Jasmine Ochoa
• Lydia Ochoa
• Mariko Choetsopon Oda, D.M.D.
• Martina Odabe
• Yevett Enid Ogea, LCSW
• Patricia Ogude
• Tolulope Ogunrinde
• Helen Chinyere Ogwo
• Kyu Oh, ORTHOTIST

• Clinical Social Worker in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.