Individual provider Active NPI

Chukwuma Okonkwo

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1508623281
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3858 Issued in CA
Practice address
3680 Wilshire Blvd Ste Po4
Los Angeles, CA 90010-2707
Phone
(323) 872-7011
NPI assigned
Feb 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3858 CA Primary

Addresses

Primary practice location

3680 Wilshire Blvd Ste Po4
Los Angeles, CA 90010-2707

Mailing address

2324 Juliet St
Los Angeles, CA 90007-1517
Phone (323) 872-7011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429002240 CA Practitioner - Qualified Audiologist 1658848411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
California University of Science and Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5555 Garden Grove Blvd
Suite 200
Westminster, CA 92683-1886

8810 Academy Dr
Buena Park, CA 90621-3769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3858CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc CurrentSince Apr 14, 2026 Accepting new patients

Locations

10929 South St
Ste 202B
Cerritos, CA 90703
Phone (562) 431-1512

1127 Wilshire Blvd
Ste 300
Los Angeles, CA 90017
Phone (213) 250-9485

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1508623281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 JULIET ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071517",
            "telephone_number": "323-872-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE PO4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102707",
            "telephone_number": "323-872-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "CHUKWUMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.