Individual provider Active NPI

Kelechi Ugonna Olukaikpe Ogom, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1710544242
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95009577 Issued in CA
Practice address
680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Phone
(626) 635-3112
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95009577 CA Primary

Addresses

Primary practice location

680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143

Mailing address

680 E Colorado Blvd Ste 180&2ND
Pasadena, CA 91101-6143
Phone (626) 929-5930

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190904003019 CA Practitioner - Nurse Practitioner 1355670118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

72980 Fred Waring Dr
Suite C
Palm Desert, CA 92260-2898
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95009577CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC CurrentSince Jan 5, 2025 Accepting new patients
Inlandpsych Redlands Inc CurrentSince Jun 1, 2023 Accepting new patients
Inlandpsych Redlands Inc CurrentSince Jun 1, 2023 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Headlight Health Medical Group PLLC PastSince Mar 28, 2026 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

701 Highland Springs Ave
Ste 7
Beaumont, CA 92223
Phone (951) 849-7455

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

32605 Temecula Pkwy
Ste 305
Temecula, CA 92592
Phone (858) 427-5060

Interoperability endpoints

  • Direct secure messaging: kelechi.olukaikpeogom.p1@direct.sokya.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1710544242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E COLORADO BLVD STE 180&2ND",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016143",
            "telephone_number": "626-929-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E COLORADO BLVD STE 180&2ND",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016143",
            "telephone_number": "626-635-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKAIKPE OGOM",
        "first_name": "KELECHI",
        "middle_name": "UGONNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95009577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.