K N Solomon Mbagwu, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G42217 Issued in CA

Practice address

1218 S Inglewood Ave
Inglewood, CA 90301-3649

Phone

(310) 672-4881

Fax

(310) 672-9887

NPI assigned

Jan 30, 2007

Sex

Male

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

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Advanced Family Care Medical Group Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1033267216
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1467599605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S INGLEWOOD AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013649",
            "telephone_number": "310-672-4881",
            "fax_number": "310-672-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 S INGLEWOOD AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013649",
            "telephone_number": "310-672-4881",
            "fax_number": "310-672-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAGWU",
        "first_name": "K N",
        "middle_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G42217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G422171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald S Mayekawa, MD
• Shelly Ann Mayers
• Walter Preston Maynard, M.D.
• Aisha Danyale Maze, MD
• Emmanuel Nwabufo Mba, M.D.
• Barbara Jean McAdory, LVN
• Marsha Elaine McCamey
• McCarthy Pharmacy Inc (Freeman Medical Pharmacy)
• McCarthy Pharmacy Inc (Freeman Medical Pharmacy)
• Edward McCarty

• Obstetrics & Gynecology Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.