Active NPI
Emmanuel Nwabufo Mba, M.D.
- Obstetrics Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- G19040
- Practice address
- 325 E. Hillcrest Blvd
Inglewood, CA 90301-2405 - Phone
- (310) 677-7172
- Fax
- (310) 677-2658
- NPI assigned
- May 17, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | G19040 | CA | Primary |
Addresses
Primary practice location
325 E. Hillcrest Blvd
Inglewood, CA 90301-2405
Mailing address
325 East Hillcrest Blvd
Inglewood, CA 90301-2405
Phone (310) 677-7172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G190400 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Southern California Keck School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 E Hillcrest Blvd
Inglewood, CA 90301-2405
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| Cedars-Sinai Marina Hospital | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Inglewood, CA
- NPI 1790026060
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
dba Centinela Hospital Medical Center
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669424511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 EAST HILLCREST BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903012405",
"telephone_number": "310-677-7172",
"fax_number": "310-677-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E. HILLCREST BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903012405",
"telephone_number": "310-677-7172",
"fax_number": "310-677-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBA",
"first_name": "EMMANUEL",
"middle_name": "NWABUFO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "G19040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G190400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.