Atlantic Cove Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ATLANTIC COVE MEDICAL GROUP

Practice address

22141 Ventura Blvd Ste 300
Woodland Hills, CA 91364-5734

Phone

(941) 208-3070

Fax

(941) 208-3070

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Collins Ezeuka, MD

Title

Ceo, Cmo, Founder

Phone

(941) 208-3070

Specialties & licenses 4

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard X Nguyen, M.D.

  • Internal Medicine Physician
  • Oxnard, CA
  • NPI 1699960708
  NPD (past)
• Ifeanyi Ugochuku, M.D.

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1558393017
  NPD (past)
• Jack N Yu, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1265485684
  NPD (past)
• Fofie S Akoto, MD

  • Internal Medicine Physician
  • Jonesboro, GA
  • NPI 1477896645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1649093097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 CLARK RD # 3072",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333227",
            "telephone_number": "941-208-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD STE 300",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645734",
            "telephone_number": "941-208-3070",
            "fax_number": "941-208-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "EZEUKA",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "CEO, CMO, FOUNDER",
        "authorized_official_telephone_number": "941-208-3070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Astrin, MA, MFC
• Larisa Asuaje
• At Ease Home Health Care, Inc.
• At Home Senior Care Services Inc
• Heather Anne Atkinson
• Atlis Health Services Inc
• Alice Au, O.D.
• Tovahl Aube, DPT
• Tierra Aubert
• Miciela Maria Audiss

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.