Individual provider Active NPI

Ekwy Onyinye Okeke

  • Family Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1609416643
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012607 Issued in CA
Practice address
12472 Washington Blvd
Whittier, CA 90602-1005
Phone
(714) 451-2230
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012607 CA Primary

Addresses

Primary practice location

12472 Washington Blvd
Whittier, CA 90602-1005

Mailing address

11942 Paramount Blvd Ste B
Downey, CA 90242-2306
Phone (562) 923-6060

Other names 1

  • Ekwy Onyinye Udegbunam Former name

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
I20231127002256 CA Practitioner - Nurse Practitioner 8820446180 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center Current Accepting new patients
Clinica Sierra Vista CurrentSince Oct 18, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 18, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Tri-State Community Healthcare Center CurrentSince Sep 23, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Sep 23, 2025 Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1685 E Home Ave
Fresno, CA 93728
Phone (559) 457-6900

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ekwy.okeke.p1@direct.fhccgla.nextgenshare.com
  • Direct secure messaging: ekwy.okeke.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: ekwy.okekenp.p1@direct.jwch.nextgenshare.com

Organizations & group practices 6

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1609416643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 PARAMOUNT BLVD STE B",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422306",
            "telephone_number": "562-923-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12472 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "714-451-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "EKWY",
        "middle_name": "ONYINYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKWY",
            "last_name": "UDEGBUNAM",
            "middle_name": "ONYINYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.