NPIMap

Organization Active NPI

Izuchukwu Okpara MD Inc

Doing business as Omni Wound Physicians

  • Surgery Physician
  • Valencia, CA
National Provider Identifier
1679004592
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IZUCHUKWU OKPARA MD INC
Doing business as
Omni Wound Physicians
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
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Izuchukwu Daniel Okpara, MDNPI 1184992851
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • Omni Wound Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

27674 Newhall Ranch Rd
Ste C85
Valencia, CA 91355
Phone (661) 561-8444

27674 Newhall Ranch Rd
Unit 85
Valencia, CA 91355

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 88

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": [],
    "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.

Verify at the official NPI Registry.