Immaculate Obiageli Anebere, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014842 Issued in CA

Practice address

501 E Hardy St
Inglewood, CA 90301

Phone

(323) 290-2832

Fax

(323) 290-2836

NPI assigned

Jul 27, 2020

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor Paul Memorial Medical CenterGroup PAC ID 7315016524, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: immaculate@doctorpaulmemorialmedicalcenterinc.amazing-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctor Paul Memorial Medical Center

  • Clinic/Center
  • Inglewood, CA
  • NPI 1659379634
  Medicare reassignment Care Compare group NPD
• California Mobile Doctors Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1427672385
  Medicare reassignment NPD
• Richard M Butlig MD Inc

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1174787642
  Medicare reassignment NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1720697683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17661 LOGANBERRY RD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467456",
            "telephone_number": "310-256-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "323-290-2832",
            "fax_number": "323-290-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Crenshaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013312",
            "country_code": "US",
            "telephone_number": "310-256-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANEBERE",
        "first_name": "IMMACULATE",
        "middle_name": "OBIAGELI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nwachukwu Anakwenze, M.D.
• Gautam Mohan Anand, M.D.
• Michelle Kay Anders
• Andre Burgess, DDS Inc
• Augua A Andrews, M.D.
• Okechukwu Anebere, PHARM.D
• Angel Kidney Care of Inglewood Inc
• Brianna Angele, LPCC
• Jacqueline Angeles, M.A., LMFT #93466
• Angelita S Beredo MD Inc

• Family Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.
• 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.

Verify at the official NPI Registry.