Active NPI
Chukwuma Okonkwo
- Audiologist
- Los Angeles, CA
National Provider Identifier
1508623281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3858 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serendipity Hearing Inc | Current | 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.
-
- Hearing Aid Equipment
- Westminister, CA
- NPI 1760783344
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.