Individual provider Active NPI

Nancy Odonkor, PA

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1851689574
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1731 E 120TH St
Los Angeles, CA 90059
Phone
(323) 563-4800
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Family Nurse Practitioner 363LF0000X 1020032 TX

Addresses

Primary practice location

1731 E 120TH St
Los Angeles, CA 90059

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201004251 NY Practitioner - Physician Assistant 9234438656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
Essen Medical Urgicare, PLLCGroup PAC ID 4385960897, 60 clinicians

Practice addresses (Care Compare)

1009 E 163Rd St
Bronx, NY 10459-4308
Phone (718) 583-7736

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452-1503
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

2304 Eastchester Rd
Bronx, NY 10469-5911
Phone (718) 583-7736

2308 Eastchester Rd
Bronx, NY 10469-5911
Phone (718) 583-7736

2505 Grand Ave
Bronx, NY 10468-4206
Phone (718) 295-1400

5665 Riverdale Ave
Bronx, NY 10471-2105
Phone (718) 583-7736

616 Castle Hill Ave
Suite a
Bronx, NY 10473-1402
Phone (718) 583-7736

899 Elton Ave
Suite a
Bronx, NY 10451-4160
Phone (718) 583-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1020032TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates,PC CurrentSince Aug 26, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 26, 2024 Accepting new patients
Essen Medical Associates, PC Past Accepting new patients

Locations

1181 Grand Concourse
Bronx, NY 10452
Phone (718) 655-1400

616 Castle Hill Ave
Ste A
Bronx, NY 10473

2308 Eastchester Rd
Bronx, NY 10469

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1851689574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059",
            "telephone_number": "323-563-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONKOR",
        "first_name": "NANCY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.