Organization Active NPI

Enera5

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1962099291
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENERA5
Practice address
5400 Balboa Blvd Ste 120
Encino, CA 91316-5200
Phone
(818) 290-3289
Fax
(818) 290-3289
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Ikechukwu O Arene, MDNPI 1801806674
Title
President / MD
Phone
(818) 290-3289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5400 Balboa Blvd Ste 120
Encino, CA 91316-5200

Mailing address

11325 Park Square Dr Apt K202
Bakersfield, CA 93311-8869
Phone (661) 873-5887

Other identifiers 1

IdentifierTypeStateIssuer
1801806674MedicaidCA

Other names 1

  • VioGene Chalcedony Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

1326 H St
Bakersfield, CA 93301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1962099291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PARK SQUARE DR APT K202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118869",
            "telephone_number": "661-873-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165200",
            "telephone_number": "818-290-3289",
            "fax_number": "818-290-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERA5",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "ARENE",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT / MD",
        "authorized_official_telephone_number": "818-290-3289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801806674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VioGene Chalcedony Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.