Individual provider Active NPI

Ese Ogbetuo, FNP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1417423138
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95010120 Issued in CA
Practice address
22617 Hawthorne Blvd
Torrance, CA 90505-2510
Phone
(310) 370-4700
Fax
(877) 762-3439
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NPF95010120 CA Primary

Addresses

Primary practice location

22617 Hawthorne Blvd
Torrance, CA 90505-2510

Mailing address

2019 Saturn St
Monterey Park, CA 91755-7415
Phone (323) 724-0019

Other practice location 1

699 W Rialto Ave Unit B
San Bernardino, CA 92410-3327
Phone (312) 728-3509

Other practice location 2

12511 Brookhurst St
Garden Grove, CA 92840-4806
Phone (714) 643-7176

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
I20200326002912 CA Practitioner - Nurse Practitioner 4385073337 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icare Practitioners and Nursing Concierge IncGroup PAC ID 3678940301, 3 clinicians

Practice addresses (Care Compare)

9655 Monte Vista Ave
Suite 402a
Montclair, CA 91763-2238
Phone (909) 701-8649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95010120CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc Single Specialty Current Accepting new patients
Montclair Community Clinic Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Central City Community Health Center Inc CurrentSince Feb 5, 2020 Accepting new patients
Grow Healthcare Group PC Single Specialty CurrentSince Jul 5, 2024 Accepting new patients
Hisham Soliman MD Inc Single Specialty CurrentSince May 31, 2022 Accepting new patients
Central City Community Health Center Inc Single Specialty CurrentSince Feb 5, 2020 Accepting new patients
H Soliman Medical Corporation Past Accepting new patients
Dema Agency Consultants LLC PastSince Feb 18, 2024 Accepting new patients

Locations

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

9655 Monte Vista Ave
Ste 402A
Montclair, CA 91763
Phone (909) 670-0472

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1000 San Gabriel Blvd
Ste 200
Rosemead, CA 91770
Phone (323) 724-0019

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 9

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1417423138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 SATURN ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557415",
            "telephone_number": "323-724-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22617 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052510",
            "telephone_number": "310-370-4700",
            "fax_number": "877-762-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Rialto Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924103327",
            "country_code": "US",
            "telephone_number": "312-728-3509",
            "fax_number": "312-312-7364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12511 Brookhurst St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928404806",
            "country_code": "US",
            "telephone_number": "714-643-7176",
            "fax_number": "714-643-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBETUO",
        "first_name": "ESE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95010120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.