Individual provider Active NPI

Christopher Aaron Ifekwunigwe, L.C.S.W.

  • Clinical Social Worker
  • Lynwood, CA
National Provider Identifier
1770701708
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 19633 Issued in CA
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.

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 179 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130724000442 CA Practitioner - Clinical Social Worker 7214178805 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 19633CAMDClinical Social Worker
19633CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Family Health Center CurrentSince Mar 10, 2024 Accepting new patients
South Central Family Health Center Current Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Oct 1, 2020 Accepting new patients
South Central Family Health Center CurrentSince Mar 10, 2024 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

  • Direct secure messaging: christopher.ifekwnigwe.d1.p1@direct.scfhc.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 19633 CA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.