Organization Active NPI

Ala-Ngwa American ENT.Inc.

Doing business as Adelanto Medical Clinic

  • Specialist
  • Adelanto, CA
National Provider Identifier
1619959301
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77049 Issued in CA
Legal business name
ALA-NGWA AMERICAN ENT.INC.
Doing business as
Adelanto Medical Clinic
Practice address
11678 Rancho Rd
Adelanto, CA 92301-2700
Phone
(760) 246-9555
Fax
(760) 246-9115
NPI assigned
Nov 17, 2005
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Onyenkwere Okwu Okwandu, RN, PH.D.
Title
Office Manager
Phone
(760) 246-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G77049 CA Primary

Addresses

Primary practice location

11678 Rancho Rd
Adelanto, CA 92301-2700

Mailing address

11678 Rancho Rd
Adelanto, CA 92301-2700
Phone (760) 246-9555

Other identifiers 1

IdentifierTypeStateIssuer
00G770491MedicaidCA

Other names 1

  • ADELANTO MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1619959301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 RANCHO RD",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012700",
            "telephone_number": "760-246-9555",
            "fax_number": "760-246-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 RANCHO RD",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012700",
            "telephone_number": "760-246-9555",
            "fax_number": "760-246-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALA-NGWA AMERICAN ENT.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "OKWANDU",
        "authorized_official_first_name": "ONYENKWERE",
        "authorized_official_middle_name": "OKWU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-246-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G770491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADELANTO MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adelanto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.