Active NPI
Clara Ndoma-Ogar, NP
- Acute Care Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1356850499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP10439
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335384 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250214003202 | AZ | Order and Referring Only - Nurse Practitioner | 6204101132 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Past | 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.
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- NPI 1245797968
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.