Odochi Nwagwu MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ODOCHI NWAGWU MD INC

Doing business as

Adelanto Medical Clinic

Practice address

11678 Rancho Rd
Adelanto, CA 92301-2700

Phone

(760) 246-9555

Fax

(760) 246-9115

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Odochi N. Nwagwu, MDNPI 1225010903

Title

Pediatrician/Ceo

Phone

(760) 246-9555

Specialties & licenses 1

Addresses

Other names 1

• ADELANTO MEDICAL CLINIC Doing business as

Locations

Practitioners 1

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.

• Odochi N Nwagwu, MD

  • Pediatrics Physician
  • Adelanto, CA
  • NPI 1225010903
  NPD (past) Authorized official

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1699029793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 RANCHO RD",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012700",
            "telephone_number": "760-246-9555",
            "fax_number": "760-246-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 RANCHO RD",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012700",
            "telephone_number": "760-246-9555",
            "fax_number": "760-246-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODOCHI NWAGWU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "ODOCHI",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PEDIATRICIAN/CEO",
        "authorized_official_telephone_number": "760-246-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADELANTO MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Leaf Ministries
• Lamar Ray Nicholson
• NK 24 Hour Transportation
• Odochi N Nwagwu, MD
• Monica Rubi Ochoa
• Nephat Amon Oliech
• Options Medical Center, Inc
• Steve Bryant Orozco
• Michelle Palacio
• Marilyn Perez

• Clinic/Center in Adelanto, CA
• Providers in Adelanto, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.