Ekhator L Osagiede, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16227 Issued in CA

Practice address

508 Venice Way
Inglewood, CA 90302-2810

Phone

(310) 714-0189

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Baart Community Healthcare

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1497127328
  Medicare reassignment
• Foothills Psychological Services, Inc.

  • Psychologist
  • Upland, CA
  • NPI 1336121888
  Medicare reassignment
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  Medicare reassignment
• Addiction Research and Treatment, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1912045196
  NPD
• Health Service Alliance

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1689492167
  NPD
• Health Service Alliance

  • Psychologist
  • Claremont, CA
  • NPI 1720675986
  NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1881783934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MARKET ST",
            "address_2": "FL 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031566",
            "telephone_number": "310-714-0189",
            "fax_number": "310-714-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 VENICE WAY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022810",
            "telephone_number": "310-714-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGIEDE",
        "first_name": "EKHATOR",
        "middle_name": "L",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Orea
• Olu Oredugba, MD
• Yessenia Oregel, B.A.
• Orlando H. Pile,MD a Professional Medical Corporation
• Joseph Neil Ortego, M.D.
• Victor Osby, RCP
• Takahi Oshita, MD
• Adenike Alaile Oshodi, NP
• Meryl Beth Ottenstein, BS
• Grace T Owojori

• Physician Assistant in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.