Active NPI
Christopher Aaron Ifekwunigwe, L.C.S.W.
- Clinical Social Worker
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 19633
- Practice address
- 2610 Industry Way
Suite a
Lynwood, CA 90262-4283 - Phone
- (310) 537-9780
- Fax
- (310) 537-9753
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1669799896
CA
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1396891909
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1649792615
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ehab Yacoub MD Inc
Practice addresses (Care Compare)
2033 Gateway PL
FL 5
San Jose, CA 95110-3709
Phone (877) 515-8113
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: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000442 | CA | Practitioner - Clinical Social Worker | 7214178805 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19633 | CA | MD | Clinical Social Worker |
| 19633 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Family Health Center | Current | Accepting new patients | |
| South Central Family Health Center | Current | Accepting new patients | |
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| South Central Family Health Center | Current | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
4425 S Central Ave
Los Angeles, CA 90011
3410 Hooper Ave
Los Angeles, CA 90011
2417 W Whittier Blvd
Montebello, CA 90640
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662
2033 Gateway Pl
Fl 5
San Jose, CA 95110
Phone (408) 856-9066
14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113
Interoperability endpoints
- christopher.ifekwnigwe.d1.p1@direct.scfhc.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 19633 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2610 Industry Way
Suite a
Lynwood, CA 90262-4283
Mailing address
2610 Industry Way
Suite a
Lynwood, CA 90262-4283
Phone (310) 537-9780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2013.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1770701708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 INDUSTRY WAY",
"address_2": "SUITE A",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624283",
"telephone_number": "310-537-9780",
"fax_number": "310-537-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 INDUSTRY WAY",
"address_2": "SUITE A",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624283",
"telephone_number": "310-537-9780",
"fax_number": "310-537-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFEKWUNIGWE",
"first_name": "CHRISTOPHER",
"middle_name": "AARON",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 19633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.