Active NPI
Michael A Ogunkah, MBA
- Home Health Agency
- Lawndale, CA
National Provider Identifier
1396984928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000178
- Practice address
- 14719 Hawthorne Blvd
Suite 202
Lawndale, CA 90260-1544 - Phone
- (310) 219-2889
- Fax
- (310) 219-2891
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000178 | CA | Primary |
Addresses
Primary practice location
14719 Hawthorne Blvd
Suite 202
Lawndale, CA 90260-1544
Mailing address
14719 Hawthorne Blvd
Suite 202
Lawndale, CA 90260-1544
Phone (310) 219-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550000178 | CA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mike a.Ogunkah | Home Health | Past | Accepting new patients |
| Prodex Home Health Agency | Home Health | 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.
-
- Home Health Agency
- Lawndale, CA
- NPI 1578711917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1396984928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14719 HAWTHORNE BLVD",
"address_2": "SUITE 202",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902601544",
"telephone_number": "310-219-2889",
"fax_number": "310-219-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14719 HAWTHORNE BLVD",
"address_2": "SUITE 202",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902601544",
"telephone_number": "310-219-2889",
"fax_number": "310-219-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNKAH",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.