Organization Active NPI

Medcom Global Inc.

Doing business as Medcom Psychiatry & Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Hawthorne, CA
National Provider Identifier
1497326789
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MEDCOM GLOBAL INC.
Doing business as
Medcom Psychiatry & Mental Health Services
Practice address
11712 Hawthorne Blvd
Hawthorne, CA 90250-2324
Phone
(562) 277-2586
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Ogbonna Iwuamadi Olelewe, DNP, PMHNP, FNP
Title
Chief Executive Officer
Phone
(562) 277-2586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11712 Hawthorne Blvd
Hawthorne, CA 90250-2324

Mailing address

PO Box 507
Lakewood, CA 90714-0507
Phone (562) 277-2586

Other names 1

  • Medcom Psychiatry & Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

11712 Hawthorne Blvd
Ste B
Hawthorne, CA 90250
Phone (888) 549-8881

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1497326789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907140507",
            "telephone_number": "562-277-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502324",
            "telephone_number": "562-277-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOM GLOBAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "OLELEWE",
        "authorized_official_first_name": "OGBONNA",
        "authorized_official_middle_name": "IWUAMADI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-277-2586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcom Psychiatry & Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.