Ndubuisi Chimezie Obioha, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95020670 Issued in CA

Practice address

18836 Pepperdine Dr
Carson, CA 90746-3904

Phone

(323) 788-4274

NPI assigned

May 3, 2022

Sex

Male

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

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.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761
  Medicare reassignment

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1699410746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 W VERNON AVE STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084714",
            "telephone_number": "323-426-5200",
            "fax_number": "323-426-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18836 PEPPERDINE DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463904",
            "telephone_number": "323-788-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIOHA",
        "first_name": "NDUBUISI",
        "middle_name": "CHIMEZIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95020670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Michelle O'Rourke, D.C.
• Oakk Care Inc.
• Uzezi Joshua Obaroh
• Uzoma Victoria Obi, NP
• Chioma Augustina Obidike, RN
• Ocariza Medical Services
• Odon M Lorenzo
• Taiwo Odukoya Odutola, OWNER
• Ofelia K. Costales, D.D.S., Inc.
• Obiogaranya Ofoegbu

• Psychiatric/Mental Health Nurse Practitioner in Carson, CA
• Providers in Carson, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.