Organization Active NPI

Ikenna Nwachuku, MD, Inc.

  • Orthopaedic Surgery Physician
  • Glendale, CA
National Provider Identifier
1588559348
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
IKENNA NWACHUKU, MD, INC.
Practice address
1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone
(818) 827-3898
Fax
(818) 827-3898
NPI assigned
Jun 11, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mary Oundjian
Title
Ceo
Phone
(818) 504-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199

Mailing address

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone (818) 827-3898

Other names 1

  • Badr Medical Corporation Other name

National Provider Directory

National Provider Directory

Locations

1500 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 243-1501

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1588559348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3898",
            "fax_number": "818-827-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-827-3898",
            "fax_number": "818-827-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKENNA NWACHUKU, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "OUNDJIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-504-7265"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Badr Medical Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.