Active NPI
Douglas Egeonu Okpara, M.D.
- Family Medicine Physician
- Hemet, CA
National Provider Identifier
1629111018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53444
- Practice address
- 603 E Latham Ave Ste a
Hemet, CA 92543-4342 - Phone
- (951) 502-3500
- Fax
- (951) 502-3400
- NPI assigned
- Feb 15, 2007
- Last updated
- May 7, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G53444 | CA | Primary |
Addresses
Primary practice location
603 E Latham Ave Ste a
Hemet, CA 92543-4342
Mailing address
16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242
Phone (909) 823-8000
Other practice location 1
811 E 11th St Ste 208
Upland, CA 91786-4872
Phone (909) 493-7410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2639CVV5 | Medicaid | CA | |
| 00G534440 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120423000187 | CA | Practitioner - Family Practice | 2769643501 | Practice locations: Compton, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53444 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Golden Gate Health | Past | Accepting new patients | |
| Namita Mohideen MD Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Community Health Worker
- Hemet, CA
- NPI 1538962832
-
- Primary Care Clinic/Center
- Fontana, CA
- NPI 1649546144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1629111018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16465 SIERRA LAKES PKWY STE 115",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361242",
"telephone_number": "909-823-8000",
"fax_number": "909-823-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E LATHAM AVE STE A",
"city": "HEMET",
"state": "CA",
"postal_code": "925434342",
"telephone_number": "951-502-3500",
"fax_number": "951-502-3400"
}
],
"practiceLocations": [
{
"address_1": "811 E 11th St Ste 208",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864872",
"country_code": "US",
"telephone_number": "909-493-7410",
"fax_number": "909-766-9410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKPARA",
"first_name": "DOUGLAS",
"middle_name": "EGEONU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2639CVV5",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G534440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.