Individual provider Active NPI

Enyinnaya Ozogu, FNP

  • Family Nurse Practitioner
  • La Palma, CA
National Provider Identifier
1316420524
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010012 Issued in CA
Practice address
7542 Keith Cir
La Palma, CA 90623-1517
Phone
(818) 335-8549
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010012 CA Primary

Addresses

Primary practice location

7542 Keith Cir
La Palma, CA 90623-1517

Mailing address

7542 Keith Cir
La Palma, CA 90623-1517
Phone (818) 335-8549

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190225002592 CA Practitioner - Nurse Practitioner 3173862828 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vuam Medical Care Group, Inc. Current Accepting new patients
Mobile Physicians Medical Allied Group Inc CurrentSince Apr 24, 2024 Accepting new patients
County of Los Angeles CurrentSince Jul 21, 2022 Accepting new patients
County of Los Angeles CurrentSince Jul 21, 2022 Accepting new patients
Global Mobile Medical Alliances, Inc. CurrentSince Jan 25, 2019 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

2829 S Grand Ave
Los Angeles, CA 90007
Phone (213) 699-7000

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1316420524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 KEITH CIR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231517",
            "telephone_number": "818-335-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 KEITH CIR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231517",
            "telephone_number": "818-335-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOGU",
        "first_name": "ENYINNAYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.