Ogo Ezeokeke, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

8750 Issued in CA

Practice address

750 Grant Ave
Suite 150
Novato, CA 94945-7001

Phone

(415) 899-9800

Fax

(415) 899-9805

NPI assigned

Jul 30, 2006

Last updated

Feb 11, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Gerihealthsolutions, Inc.

  dba geriHEALTHcare

  • Gerontology Nurse Practitioner
  • Novato, CA
  • NPI 1275699704
  NPD (past)
• Priest NP Services

  • Gerontology Nurse Practitioner
  • Novato, CA
  • NPI 1306905336
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1437164126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GRANT AVE",
            "address_2": "SUITE 150",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457001",
            "telephone_number": "415-899-9800",
            "fax_number": "415-899-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GRANT AVE",
            "address_2": "SUITE 150",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457001",
            "telephone_number": "415-899-9800",
            "fax_number": "415-899-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEOKEKE",
        "first_name": "OGO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "8750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0087500",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Esteban, DNP, APRN, FNP-C, RN
• Lawson Eric Evans, DDS
• Amy J. Ewing, MD
• Eye Connection Incorporated (Site for Sore Eyes)
• Michael David Eynon
• Chelsea Fairbanks
• Family Service Agency of Marin
• Shawna Fariba, D.D.S
• Alexandra Farrand
• Alicia Feaster, MTS

• Gerontology Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.