Individual provider Active NPI

Anthony Odion Ozigho, NP

  • Primary Care Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1437357217
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
22244 Issued in CA
Practice address
1260 15TH St Ste 1502
Santa Monica, CA 90404-1135
Phone
(310) 656-1702
Fax
(310) 458-1061
NPI assigned
Jul 3, 2007
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22244 CA
Primary Care Nurse Practitioner 363LP2300X 22244 CA Primary

Addresses

Primary practice location

1260 15TH St Ste 1502
Santa Monica, CA 90404-1135

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

200 N Robertson Blvd
Suite 101
Beverly Hills, CA 90211-1769
Phone (310) 977-3253

Other identifiers 1

IdentifierTypeStateIssuer
771062OtherCABRN

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
I20130311000147 CA Practitioner - Nurse Practitioner 0042465411 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22244CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Feb 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 20, 2013 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
The Regents of the University of California CurrentSince Feb 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 24, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jun 24, 2019 Accepting new patients
UCLA Medical Group Past Accepting new patients
Regents of the University of California PastSince Feb 11, 2024 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

200 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 385-3239

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

File 55737
Los Angeles, CA 90074

1260 15th St
Ste 1502
Santa Monica, CA 90404
Phone (310) 656-1701

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: aozigho1221016@direct.uclahealth.org
  • Direct secure messaging: aozigho183414@direct.cshs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1437357217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 1502",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135",
            "telephone_number": "310-656-1702",
            "fax_number": "310-458-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Robertson Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111769",
            "country_code": "US",
            "telephone_number": "310-977-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZIGHO",
        "first_name": "ANTHONY",
        "middle_name": "ODION",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22244",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "22244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "771062",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.