Iheoma Nwaogu MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IHEOMA NWAOGU MD INC

Practice address

320 Dardanelli LN Ste 23B
Los Gatos, CA 95032-1441

Phone

(408) 540-3636

NPI assigned

Jul 15, 2019

Last updated

Oct 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Iheoma Yvonne Nwaogu, MDNPI 1861713182

Title

Owner

Phone

(408) 540-3636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20020/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iheoma Nwaogu, M.D.

  • Surgery Physician
  • Los Gatos, CA
  • NPI 1861713182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1770135212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 23B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321441",
            "telephone_number": "408-540-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN STE 23B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321441",
            "telephone_number": "408-540-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHEOMA NWAOGU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "NWAOGU",
        "authorized_official_first_name": "IHEOMA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-540-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Huynh, DO
• Thucvu Huynh
• Ivana Hwang, OD
• Christie Hydar, PT, DPT
• Monica Ann Hylbert, LMFT, ATR
• Sharon M Ihlefeld, D.C.
• Mary L Imig, MD
• Leanna Immel
• Impakt Medical, LLC
• In Health Clinic, Ly Ho Chiropractic Corporation

• Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.