NPIMap

Individual provider Active NPI

Chimezie Benjamin Amagwula, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
National Provider Identifier
1902462633
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A196932 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
May 17, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Medical Imaging 95 clinicians
Menalam Health Services PC 89 clinicians

Practice addresses (Care Compare)

431 El Camino Real
Apt 4104
Santa Clara, CA 95050-7414
Phone (626) 244-8200

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240820002754 CA Practitioner - Diagnostic Radiology 1254879307 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
Avalon Medical Development Corporation Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients

Locations

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Interoperability endpoints

  • Direct secure messaging: camagwula69211@uihealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A196932 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2345

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2024.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1902462633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAGWULA",
        "first_name": "CHIMEZIE",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A196932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.