Active NPI
Kelechi Ugonna Olukaikpe Ogom, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP95009577
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP95009577 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Current | Accepting new patients | |
| Inlandpsych Redlands Inc | Current | Accepting new patients | |
| Inlandpsych Redlands Inc | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Headlight Health Medical Group PLLC | Past | 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
- 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.
-
- Mental Health Counselor
- San Diego, CA
- NPI 1942970330
-
- Psychiatry Physician
- Redlands, CA
- NPI 1053575738
-
- Psychiatry Physician
- Beaumont, CA
- NPI 1649589219
-
- Psychiatry Physician
- San Diego, CA
- NPI 1649064486
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.