Osemwota Omoigui, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A48906 Issued in CA

Practice address

4019 W Rosecrans Ave
Hawthorne, CA 90250-7913

Phone

(310) 675-9121

NPI assigned

Nov 8, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• State-of-the-Art Technologies Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Hawthorne, CA
  • NPI 1962524231
  Medicare reassignment NPD Authorized official
• L.Wiener C.Ross Medical Corp

  • Sports Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1366543290
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1497825467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W ROSECRANS AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507913",
            "telephone_number": "310-675-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W ROSECRANS AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507913",
            "telephone_number": "310-675-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOIGUI",
        "first_name": "OSEMWOTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A48906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A489064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogbonna Iwuamadi Olelewe, NP-C
• Sarah Sam Olelewe, M.D.
• Mia Katherine Oliver, DPT
• Scott Olomanu
• Elizabeth Temitope Oluwole
• One Medical Group, Inc.
• Maureen Oneill, MD
• Jessica Orellana, FNP
• Nancy Orjiakor
• Abiola Orkeh

• Pain Medicine (Anesthesiology) Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.