Wogu & Wogu Neurosurgical and Spine Services Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

20A9318 Issued in CA

Legal business name

WOGU & WOGU NEUROSURGICAL AND SPINE SERVICES INC

Practice address

620 California Blvd Ste J
San Luis Obispo, CA 93401-2598

Phone

(805) 543-9648

Fax

(805) 543-1879

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elijah Uzoma Wogu, DONPI 1164622908

Title

Neurosurgeon

Phone

(951) 288-0061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Uzoma Wogu, DO

  • Neurological Surgery Physician
  • San Luis Obispo, CA
  • NPI 1164622908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1730596495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 4156",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037036",
            "telephone_number": "805-543-9648",
            "fax_number": "805-543-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD STE J",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012598",
            "telephone_number": "805-543-9648",
            "fax_number": "805-543-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOGU & WOGU NEUROSURGICAL AND SPINE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "WOGU",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "UZOMA",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "951-288-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A9318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna Grace Winninghoff, PT
• William Winston, BC-HIS
• Nichole Marie Winters
• Bettina L Wise
• Jon Mark Wise
• Elijah Uzoma Wogu, DO
• Anthony Michael Wolfe, MD
• Paul J Wolfrom, DO
• Womens Healthcare Specialists of San Luis Obispo Inc
• Nathan Wong, D.D.S

• Neurological Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.