Organization Active NPI

Ejike Onyeador MD Inc

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1699841700
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A45589 Issued in CA
Legal business name
EJIKE ONYEADOR MD INC
Practice address
1045 Atlantic Ave Suite 715
Long Beach, CA 90813-3408
Phone
(562) 983-5496
Fax
(562) 432-1864
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Mr. Ejike Celestine Onyeador
Title
Physician Owner
Phone
(562) 983-5496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A45589 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Suite 715
Long Beach, CA 90813-3408

Mailing address

1045 Atlantic Ave Suite 715
Long Beach, CA 90813-3408
Phone (562) 983-5496

Other identifiers 2

IdentifierTypeStateIssuer
00A455891OtherCAMEDICAL
00A455893MedicaidCA

National Provider Directory

National Provider Directory

Locations

1045 Atlantic Ave
Ste 715
Long Beach, CA 90813
Phone (562) 983-5496

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1699841700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE SUITE 715",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-983-5496",
            "fax_number": "562-432-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE SUITE 715",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-983-5496",
            "fax_number": "562-432-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJIKE ONYEADOR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ONYEADOR",
        "authorized_official_first_name": "EJIKE",
        "authorized_official_middle_name": "CELESTINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "562-983-5496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A455891",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

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