Individual provider Active NPI

Clara Ndoma-Ogar, NP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1356850499
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP10439 Issued in AZ
Practice address
9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463
Phone
(480) 999-4954
Fax
(480) 999-4712
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP10439 AZ Primary

Addresses

Primary practice location

9200 N Central Ave Ste 2
Phoenix, AZ 85020-2463

Mailing address

2310 N Beverly PL
Buckeye, AZ 85396-1786

Other identifiers 1

IdentifierTypeStateIssuer
335384MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250214003202 AZ Order and Referring Only - Nurse Practitioner 6204101132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC PastSince Feb 21, 2021 Accepting new patients
Sunrise Mountain Healthcare LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1356850499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N BEVERLY PL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "480-999-4954",
            "fax_number": "480-999-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDOMA-OGAR",
        "first_name": "CLARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP10439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335384",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.