Active NPI
Ijeoma H Ezemonye, NP
- Nurse Practitioner
- South Gate, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95007825
- Practice address
- 5831 Firestone Blvd Ste E
South Gate, CA 90280-3718 - Phone
- (562) 806-7545
- NPI assigned
- Oct 30, 2017
- Last updated
- Apr 13, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95007825 | CA | Primary |
Addresses
Primary practice location
5831 Firestone Blvd Ste E
South Gate, CA 90280-3718
Mailing address
5831 Firestone Blvd Ste E
South Gate, CA 90280-3718
Phone (562) 806-7545
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4450 W Century Blvd
Inglewood, CA 90304-1504
Phone (310) 671-0555
5831 Firestone Blvd
Suite E
South Gate, CA 90280-3718
Phone (562) 806-7545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| El Dorado Community Service Centers | Current | Accepting new patients | |
| El Dorado Community Service Center | Current | Accepting new patients | |
| El Dorado Community Service Center | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
25821 Vermont Ave
Harbor City, CA 90710
Phone (424) 251-7100
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
4450 W Century Blvd
Inglewood, CA 90304
Phone (310) 671-0555
4023 Marine Ave
Lawndale, CA 90260
Phone (310) 508-8693
393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914
26460 Summit Cir
Santa Clarita, CA 91350
Phone (562) 916-7581
Interoperability endpoints
- iezemonye@ecsc.adaptamed.direct-ci.com
Organizations & group practices 7
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.
-
dba Inglewood Medical & Mental Health Services
- Primary Care Clinic/Center
- Inglewood, CA
- NPI 1700882156
-
- PACE Provider Organization
- Los Angeles, CA
- NPI 1215113964
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Santa Clarita Medical & Mental Health Services
- Primary Care Clinic/Center
- Newhall, CA
- NPI 1508935230
-
dba El Dorado- Van Nuys
- Primary Care Clinic/Center
- Van Nuys, CA
- NPI 1396814893
-
- Health Maintenance Organization
- Hawthorne, CA
- NPI 1164914115
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1396257382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 FIRESTONE BLVD STE E",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902803718",
"telephone_number": "562-806-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5831 FIRESTONE BLVD STE E",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902803718",
"telephone_number": "562-806-7545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEMONYE",
"first_name": "IJEOMA",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95007825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.