Active NPI
Izuchukwu Okpara MD Inc
- Surgery Physician
- Valencia, CA
National Provider Identifier
1679004592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- IZUCHUKWU OKPARA MD INC
- Practice address
- 28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090 - Phone
- (213) 228-3538
- Fax
- (818) 356-4380
- NPI assigned
- Mar 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Izuchukwu Daniel Okpara, MD
- Title
- President & Ceo
- Phone
- (213) 228-3538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Mailing address
25044 Peachland Ave Ste 110
Newhall, CA 91321-5730
Phone (661) 383-7136
Other practice location 1
10880 Wilshire Blvd Ste 1101
Los Angeles, CA 90024-4112
Phone (132) 283-5382
Other practice location 2
5430 Arlington Ave
Riverside, CA 92504-2505
Phone (213) 228-3538
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX4098 | Other | CA | MEDICARE RAILROAD |
| CA245067 | Other | CA | MEDICARE NORTH CALIFORNIA |
| CB274157 | Other | CA | MEDICARE SOUTH CALIFORNIA |
| 1679004592 | Medicaid | CA |
Other names 1
- Omni Wound Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170502002135 | CA | Part B Supplier - Clinic/Group Practice | 1052698966 |
Receives reassigned benefits from 87 practitioners Practice locations: Valencia, CA |
| O20221006002539 | FL | Part B Supplier - Clinic/Group Practice | 1052698966 |
Receives reassigned benefits from 1 practitioner Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617
27674 Newhall Ranch Rd
Unit 85
Valencia, CA 91355
1111 SW 1st Ave
Apt 1922N
Miami, FL 33130
Practitioners & affiliated clinicians
Practitioners 88
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Valencia, CA
- NPI 1184992851
CA, FL, Neurological Surgery
-
- Surgery Physician
- Santa Clarita, CA
- NPI 1306189964
CA, Single Specialty
-
- Surgery Physician
- Beverly Hills, CA
- NPI 1104084698
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1679004592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25044 PEACHLAND AVE STE 110",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913215730",
"telephone_number": "661-383-7136",
"fax_number": "818-356-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 200",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555090",
"telephone_number": "213-228-3538",
"fax_number": "818-356-4380"
}
],
"practiceLocations": [
{
"address_1": "10880 Wilshire Blvd Ste 1101",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900244112",
"country_code": "US",
"telephone_number": "132-283-5382",
"fax_number": "818-356-4380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5430 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925042505",
"country_code": "US",
"telephone_number": "213-228-3538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IZUCHUKWU OKPARA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "OKPARA",
"authorized_official_first_name": "IZUCHUKWU",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "213-228-3538",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DX4098",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NORTH CALIFORNIA",
"identifier": "CA245067",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SOUTH CALIFORNIA",
"identifier": "CB274157",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679004592",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Omni Wound Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.