Shinnel Medical Group Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHINNEL MEDICAL GROUP INC

Practice address

5155 W Rosecrans Ave Ste 220
Hawthorne, CA 90250-6663

Phone

(213) 564-4040

NPI assigned

Jul 14, 2022

Last updated

Dec 28, 2022By 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

Adaobi OzohNPI 1346373172

Title

Owner

Phone

(213) 564-4040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Adaobi Ozoh, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Sherman Oaks, CA
  • NPI 1346373172
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1841924818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 BANGLE RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402620",
            "telephone_number": "213-564-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 W ROSECRANS AVE STE 220",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506663",
            "telephone_number": "213-564-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINNEL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "OZOH",
        "authorized_official_first_name": "ADAOBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-564-4040"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.