Emmanuel N. Mba, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G19040 Issued in CA

Legal business name

EMMANUEL N. MBA, M.D., INC.

Practice address

325 E Hillcrest Blvd
Inglewood, CA 90301-2405

Phone

(310) 677-7172

Fax

(310) 677-2658

NPI assigned

Mar 11, 2013

Last updated

Mar 11, 2013By 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

Dr. Emmanuel N Mba, M.D.NPI 1669424511

Title

President

Phone

(310) 677-7172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Emmanuel Nwabufo Mba, M.D.

  • Obstetrics Physician
  • Inglewood, CA
  • NPI 1669424511
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1790026060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 W 62ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900562009",
            "telephone_number": "310-677-7172",
            "fax_number": "310-677-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012405",
            "telephone_number": "310-677-7172",
            "fax_number": "310-677-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL N. MBA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "MBA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-677-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G19040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Dorado Community Service Center (Inglewood Medical & Mental Health Services)
• Ayoka Paige El Muhammad
• Robert Elliott, M.D.
• Danielle Elzy, NP
• Joyce Celine Embuscado, RPT
• Timothy P. Encinas, LCSW
• Encore Care Inc
• Edem Eno
• Yvette Enrique
• Enroma Medical Supply

• Specialist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.