Ijeoma Ogbonnia

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005390 Issued in CA

Practice address

11900 Avalon Blvd
# 100
Los Angeles, CA 90061-2866

Phone

(310) 679-1947

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ijeoma.ogbonnia@theci.eclinicaldirectplus.com

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.

• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• T H E Clinic Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1023287679
  Medicare reassignment NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1427582832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 DOTY AVE",
            "address_2": "# 13",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506241",
            "telephone_number": "310-679-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD",
            "address_2": "# 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612866",
            "telephone_number": "310-679-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNIA",
        "first_name": "IJEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ogba
• Osaretin Hilda Ogbeni, RN
• Nehikhare Ogbevoen, D.D.S.
• Isyoma Ogbogu-Baray
• Chinelo Ogbogu
• Akunna Ugo Ogbu, M.D.
• Chioma Manuella Efua Ogbuehi, OTR
• Jack Ogden
• John Steven Oghalai, M.D.
• Osariemen Violet Ogiamien

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.

Verify at the official NPI Registry.