Individual provider Active NPI

Comfort N Ojukwu

  • Family Nurse Practitioner
  • Carson, CA
National Provider Identifier
1740841774
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011955 Issued in CA
Practice address
639 E Lincoln St
Carson, CA 90745-6009
Phone
(310) 425-4058
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95011955 CA Primary

Addresses

Primary practice location

639 E Lincoln St
Carson, CA 90745-6009

Mailing address

639 E Lincoln St
Carson, CA 90745-6009
Phone (310) 425-4058

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
I20210203000227 CA Practitioner - Nurse Practitioner 1153735121 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Care Community Health Center Single Specialty CurrentSince Feb 24, 2025 Accepting new patients
South Central Family Health Center CurrentSince Mar 10, 2024 Accepting new patients
Via Care Community Health Center CurrentSince Feb 24, 2025 Accepting new patients
St. Johns Community Health CurrentSince Dec 2, 2022 Accepting new patients
St. Johns Community Health Single Specialty CurrentSince Dec 2, 2022 Accepting new patients
Global Mobile Medical Alliances, Inc. Single Specialty CurrentSince Jan 20, 2021 Accepting new patients
South Central Family Health Center Single Specialty CurrentSince Mar 10, 2024 Accepting new patients
Global Integrated Medical Group, Inc. Single Specialty CurrentSince Jan 20, 2021 Accepting new patients
Mobile Physicians Medical Allied Group Inc Single Specialty PastSince Oct 1, 2021 Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1028 E Vernon Ave
Los Angeles, CA 90011
Phone (213) 231-5174

326 W 23rd St
Los Angeles, CA 90007
Phone (323) 366-1100

501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442

507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067

4425 S Central Ave
Los Angeles, CA 90011

3410 Hooper Ave
Los Angeles, CA 90011

2417 W Whittier Blvd
Montebello, CA 90640

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

1535 W Merced Ave
Ste 202
West Covina, CA 91790
Phone (626) 337-6246

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: comfort.ojukwu.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 9

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1740841774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E LINCOLN ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456009",
            "telephone_number": "310-425-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E LINCOLN ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907456009",
            "telephone_number": "310-425-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJUKWU",
        "first_name": "COMFORT",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.