Active NPI
Ala-Ngwa American ENT.Inc.
Doing business as Adelanto Medical Clinic
- Specialist
- Adelanto, CA
National Provider Identifier
1619959301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G77049
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G770491 | Medicaid | CA |
Other names 1
- ADELANTO MEDICAL CLINIC
National Provider Directory
National Provider DirectoryPractitioners & 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.