Organization Active NPI

West Coast Thoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Culver City, CA
National Provider Identifier
1548830268
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
WEST COAST THORACIC SURGERY
Practice address
3831 Hughes Ave Ste 105
Culver City, CA 90232-6834
Phone
(949) 212-8339
NPI assigned
Jun 25, 2021
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Osita Onugha, MDNPI 1164600128
Title
MD/Ceo
Phone
(949) 212-8339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 105
Culver City, CA 90232-6834

Mailing address

7381 La Tijera Blvd Unit 45624
Los Angeles, CA 90045-7027
Phone (949) 212-8339

Other practice location 1

510 N Prospect Ave Ste 115
Redondo Beach, CA 90277-3057
Phone (949) 212-8339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020000234 CA Part B Supplier - Clinic/Group Practice 3375931645 Receives reassigned benefits from 2 practitioners
Practice locations: Culver City, CA; Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

7381 La Tijera Blvd
Unit 45624
Los Angeles, CA 90045

510 N Prospect Ave
Ste 115
Redondo Beach, CA 90277
Phone (310) 530-5050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1548830268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 LA TIJERA BLVD UNIT 45624",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900457027",
            "telephone_number": "949-212-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 105",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326834",
            "telephone_number": "949-212-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 N Prospect Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902773057",
            "country_code": "US",
            "telephone_number": "949-212-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-01-11",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ONUGHA",
        "authorized_official_first_name": "OSITA",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "949-212-8339",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.