Active NPI
Simon Akhnoukh
- Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A200843
- Practice address
- 950 E 3Rd St Apt 1401
Los Angeles, CA 90013-2674 - Phone
- (727) 481-8149
- NPI assigned
- Sep 3, 2021
- Last updated
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A200843 | CA | Primary |
Addresses
Primary practice location
950 E 3Rd St Apt 1401
Los Angeles, CA 90013-2674
Mailing address
950 E 3Rd St Apt 1401
Los Angeles, CA 90013-2674
Phone (727) 481-8149
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A200843 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Izuchukwu Okpara MD Inc | Surgery | Current | Accepting new patients |
Locations
5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945
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, 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": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1609544535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 E 3RD ST APT 1401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132674",
"telephone_number": "727-481-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E 3RD ST APT 1401",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132674",
"telephone_number": "727-481-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKHNOUKH",
"first_name": "SIMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A200843",
"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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.