Individual provider Active NPI

Doris Ego Onuohah, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1578765137
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95003988 Issued in CA
Practice address
265 S Anita Dr Ste 201
Orange, CA 92868-3346
Phone
(714) 410-3505
NPI assigned
Jun 4, 2007
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95003988 CA Primary

Addresses

Primary practice location

265 S Anita Dr Ste 201
Orange, CA 92868-3346

Mailing address

265 S Anita Dr Ste 201
Orange, CA 92868-3346
Phone (714) 410-3505

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323000813 CA Practitioner - Nurse Practitioner 2668549387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003988CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Recovery, Inc. CurrentSince Mar 17, 2024 Accepting new patients
Autism 360 Support LLC CurrentSince Jul 24, 2022 Accepting new patients
Envision Home Health Service Inc PastSince Jun 14, 2018 Accepting new patients

Locations

5762 Bolsa Ave
Ste 107
Huntington Beach, CA 92649
Phone (714) 891-7301

265 S Anita Dr
Ste 201
Orange, CA 92868
Phone (714) 410-3500

Interoperability endpoints

  • Direct secure messaging: doris.onuohah@kcc.eclinicaldirectplus.com
  • Direct secure messaging: onuohah.doris.004.0050924@cnhf.meditab.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1578765137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683346",
            "telephone_number": "714-410-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683346",
            "telephone_number": "714-410-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUOHAH",
        "first_name": "DORIS",
        "middle_name": "EGO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.