Bernard Ngonadi Nwaogwugwu, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LVN 207577 Issued in CA

Practice address

13520 Kornblum Ave Apt 136
Hawthorne, CA 90250-7648

Phone

(310) 429-2062

Fax

(310) 973-4912

NPI assigned

Dec 10, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1922281229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 KORNBLUM AVE APT 136",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507648",
            "telephone_number": "310-429-2062",
            "fax_number": "310-973-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13520 KORNBLUM AVE APT 136",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507648",
            "telephone_number": "310-429-2062",
            "fax_number": "310-973-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOGWUGWU",
        "first_name": "BERNARD",
        "middle_name": "NGONADI",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "LVN 207577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Community Clinic
• Northeast Community Clinic
• Farshad Joseph Nosratian, MD
• Inocencia Dario Nuccio, NP
• Michael Nunberg, PHARMD
• Ifeoma Stella Nweke
• John Keith Nylund, MD
• Deysi Barrientos O'Connell
• Ololade Olamide Obafemi, NP
• Obiageli Ifeoma Obah, NP

• Licensed Vocational Nurse in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.