Active NPI
May Ogbozor
- Family Nurse Practitioner
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95010109
- Practice address
- 18040 Sherman Way Ste 300
Reseda, CA 91335-4631 - Phone
- (310) 484-9048
- NPI assigned
- Apr 10, 2019
- Last updated
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010109 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95010109 | CA | Primary |
Addresses
Primary practice location
18040 Sherman Way Ste 300
Reseda, CA 91335-4631
Mailing address
13808 Cerise Ave Apt 19
Hawthorne, CA 90250-8723
Phone (310) 484-9048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95010109 | Other | CA | NURSE PRACTITIONER NUMBER |
Other names 1
- Maryrose Ogbozor
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1670 E 120TH St
Los Angeles, CA 90059-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010109 | CA | MD | Family Nurse Practitioner |
| 95023047 | CA | MD | Family Nurse Practitioner |
| NP95010109 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Martin Luther King, Jr. Outpatient Center
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1790248300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13808 CERISE AVE APT 19",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902508723",
"telephone_number": "310-484-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SHERMAN WAY STE 300",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354631",
"telephone_number": "310-484-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBOZOR",
"first_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010109",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95010109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER NUMBER",
"identifier": "95010109",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARYROSE",
"last_name": "OGBOZOR",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.