Individual provider Active NPI

Chibuikem Okoro, PA

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1902544240
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61535 Issued in CA
Practice address
40125 Starling St
Temecula, CA 92591-6146
Phone
(336) 587-2367
NPI assigned
May 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61535 CA Primary

Addresses

Primary practice location

40125 Starling St
Temecula, CA 92591-6146

Mailing address

40125 Starling St
Temecula, CA 92591-6146
Phone (336) 587-2367

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104002032 CA Practitioner - Physician Assistant 7315314267 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MGM Physician Assistant IncGroup PAC ID 5890132096, 9 clinicians

Practice addresses (Care Compare)

Riverside, CA 92507
Phone (310) 619-7370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61535CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Advanced Mobile Wound Healing Physician Assistant, PC Physician Assistant CurrentSince Jul 22, 2025 Accepting new patients
MGM Physician Assistant Inc CurrentSince Jan 27, 2026 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Nov 9, 2025 Accepting new patients
WT Health of California LLC CurrentSince Nov 9, 2025 Accepting new patients
Mobile Physicians Medical Allied Group Inc PastSince Oct 1, 2021 Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

39252 Winchester Rd
Ste 107236
Murrieta, CA 92563

1525 3rd St
Ste 205
Riverside, CA 92507
Phone (310) 619-7370

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

Organizations & group practices 10

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1902544240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40125 STARLING ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916146",
            "telephone_number": "336-587-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40125 STARLING ST",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916146",
            "telephone_number": "336-587-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "CHIBUIKEM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.