Individual provider Active NPI

Ezioma Azubuike, N.P

  • Nurse Practitioner
  • Orange, CA
National Provider Identifier
1659774560
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001257 Issued in CA
Practice address
101 The City Dr S
Suite 400
Orange, CA 92868-3201
Phone
(714) 456-6870
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95001257 CA
Nurse Practitioner 363L00000X 95001257 CA Primary

Addresses

Primary practice location

101 The City Dr S
Suite 400
Orange, CA 92868-3201

Mailing address

225 W 3Rd St
Apt 137
Long Beach, CA 90802-3005
Phone (310) 782-5409

Other names 1

  • Ezioma Nwokafor Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150127000008 CA Practitioner - Nurse Practitioner 4880918622 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgeons of Orange a Medical GroupGroup PAC ID 6901705227, 116 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 634-5549

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
711792CAMDLicensed Vocational Nurse
95001257CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince May 23, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 23, 2022 Accepting new patients
UC Regents CurrentSince Nov 15, 2014 Accepting new patients
Centers for Family Medicine GP CurrentSince Nov 1, 2023 Accepting new patients
UC Regents Current Accepting new patients
Medison Corp CurrentSince Aug 21, 2023 Accepting new patients
The Regents of the University of California-Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

2551 W Woodland Dr
Anaheim, CA 92801

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
#B10
Orange, CA 92868
Phone (714) 634-5549

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Ste 400
Orange, CA 92868
Phone (714) 456-5691

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

24329 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 868-8100

Interoperability endpoints

  • Direct secure messaging: eazubuike24314@epiclp.direct-ci.com
  • Direct secure messaging: ezioma.azubuike.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1659774560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 3RD ST",
            "address_2": "APT 137",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023005",
            "telephone_number": "310-782-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "address_2": "SUITE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUBUIKE",
        "first_name": "EZIOMA",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95001257",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EZIOMA",
            "last_name": "NWOKAFOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.