Individual provider Active NPI

Ijeoma A Ofiaeli, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1932138179
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88840 Issued in CA
Practice address
117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone
(805) 739-3890
Fax
(805) 347-7697
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88840 CA Primary

Addresses

Primary practice location

117 W Bunny Ave
Santa Maria, CA 93458-2805

Mailing address

2041 Village LN
Solvang, CA 93463-2250
Phone (805) 688-3771

Other identifiers 1

IdentifierTypeStateIssuer
00A888400MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000755 CA Practitioner - Internal Medicine 7810920287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast in-Patient Consultants IncGroup PAC ID 8325137714, 33 clinicians

Practice addresses (Care Compare)

1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 489-4261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.8 of 100Reported as individual
Quality
85
Improvement activities
0
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88840CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1932138179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 VILLAGE LN",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632250",
            "telephone_number": "805-688-3771",
            "fax_number": "805-895-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W BUNNY AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582805",
            "telephone_number": "805-739-3890",
            "fax_number": "805-347-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFIAELI",
        "first_name": "IJEOMA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A888400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.