Individual provider Active NPI

Ernest Okwuonu, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1639735665
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A185688 Issued in CA
Practice address
6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920
Phone
(805) 764-9651
NPI assigned
May 15, 2019
Reactivated
Apr 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61551380 WA
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A185688 CA Primary

Addresses

Primary practice location

6500 Wilshire Blvd FL 19
Los Angeles, CA 90048-4920

Mailing address

401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (805) 764-9651

Other practice location 1

500 Pasteur Dr
Palo Alto, CA 94304-1048
Phone (650) 723-0895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240117004838 CA Practitioner - Psychiatry 7113379868 Reassigns benefits to 6 organizations
I20250325001488 WA Practitioner - Psychiatry 7113379868 Reassigns benefits to 1 organization
I20251001003609 ND Practitioner - Psychiatry 7113379868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians

Practice addresses (Care Compare)

16501 Ventura Blvd
Suite 400
Encino, CA 91436-2067
Phone (818) 849-6215

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (844) 496-9160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185688CAMDPsychiatry Physician
MD61551380WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
Sanford Bismarck CurrentSince Oct 25, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince May 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 24, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 26, 2025 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 24, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 26, 2025 Accepting new patients
Sanford Bismarck CurrentSince Aug 19, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 24, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 24, 2024 Accepting new patients

Locations

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

16501 Ventura Blvd
Ste 400
Encino, CA 91436
Phone (818) 522-7369

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

150 S Los Robles Ave
Ste 620
Pasadena, CA 91101
Phone (626) 469-3717

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1639735665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041419",
            "telephone_number": "805-764-9651",
            "fax_number": "747-330-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WILSHIRE BLVD FL 19",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484920",
            "telephone_number": "805-764-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041048",
            "country_code": "US",
            "telephone_number": "650-723-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKWUONU",
        "first_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61551380",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A185688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.