Thecla N. Mgbojirikwe, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A83572 Issued in CA

Practice address

936 N Wilmington Blvd
Wilmington, CA 90744-4102

Phone

(310) 816-3111

Fax

(310) 816-3116

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Thecla N Ikedum Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Thecla Mgbojirikwe M.D Inc

  • Specialist
  • Lawndale, CA
  • NPI 1386988558
  NPD Authorized official
• Olusegun Z. Salako M.D. Inc

  dba Comfort Medical Clinic

  • Obstetrics & Gynecology Physician
  • Wilmington, CA
  • NPI 1679746713

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1710035126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 N WILMINGTON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444102",
            "telephone_number": "310-816-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 N WILMINGTON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444102",
            "telephone_number": "310-816-3111",
            "fax_number": "310-816-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGBOJIRIKWE",
        "first_name": "THECLA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A83572",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A83572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thecla.mgbojirikwe.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THECLA",
            "last_name": "IKEDUM",
            "middle_name": "N",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Marie McCallister, C.A.D.C.
• Ann Margaret McClure, R.D.A.
• William Loushion McCollum
• Fantaye Merid, M.D.
• Maria Yolanda Meza, PHARMD
• Katrina R Millet, LCSW, PHD
• Jimmy Dion Mitchell Jr.
• Molina Healthcare of California
• Ehsan Montazeri, MD
• Clarence Canlapan Monteclaro, MD, MBA

• Pediatrics Physician in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.