Nkonye Ada Ezeobah

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

16610 Crenshaw Blvd
Torrance, CA 90504-2108

Phone

(310) 856-0406

Fax

(310) 856-0408

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Centinela Medical Group

  • General Practice Physician
  • Inglewood, CA
  • NPI 1902936099
  Medicare reassignment NPD
• Habona Services

  • Non-Surgical Family Planning Clinic/Center
  • Los Angeles, CA
  • NPI 1023517315
  NPD Authorized official
• Noble Heart Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Torrance, CA
  • NPI 1124150917
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689706699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 REDONDO BEACH BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041650",
            "telephone_number": "310-856-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042108",
            "telephone_number": "310-856-0406",
            "fax_number": "310-856-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEOBAH",
        "first_name": "NKONYE",
        "middle_name": "ADA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye 2 Eye Optical Inc
• Eye Zone Optometry, Inc.
• Eyecare Specialists Medical Group, Inc.
• Viktor E Eysselein, M.D.
• Chinazaekpere Jennifer Ezeani, PHARMD
• F B Parker DDS Inc
• F. Enriquez & N.Brajevich, Pediatric Dental Partnership
• F.M. Bardi DDS Apc
• Zoila Rebeca Fabian Montenegro
• Linus Lardizabal Fabie, RN

• Addiction (Substance Use Disorder) Counselor in Torrance, CA
• Providers in Torrance, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.