Individual provider Active NPI

Pamela Akuchukwu Akametalu, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1649809328
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
195437 Issued in CA
Practice address
822 S Robertson Blvd Ste 300
Los Angeles, CA 90035-1640
Phone
(213) 922-3456
NPI assigned
Apr 5, 2020
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 195437 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 300
Los Angeles, CA 90035-1640

Mailing address

822 S Robertson Blvd Ste 300
Los Angeles, CA 90035-1640

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241108002968 CA Practitioner - Obstetrics/Gynecology 8527592831 Reassigns benefits to 3 organizations
I20241213001296 WA Practitioner - Obstetrics/Gynecology 8527592831 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195437CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 5, 2024 Accepting new patients
Multicare Health System CurrentSince Nov 11, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jan 31, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 5, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Multicare Health System CurrentSince Nov 11, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Alameda Health System CurrentSince Jun 30, 2025 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2025 Accepting new patients

Locations

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1649809328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351640",
            "telephone_number": "213-922-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAMETALU",
        "first_name": "PAMELA",
        "middle_name": "AKUCHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "195437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.