Active NPI
Ogo Mbanugo, MD
- Obstetrics & Gynecology Physician
- Martinez, CA
National Provider Identifier
1962572867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A44694
- Practice address
- 2500 Alhambra Avenue
Contra Costa Regional Medical Center and Health Centers
Martinez, CA 94553-3156 - Phone
- (925) 370-5110
- Fax
- (925) 370-5142
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A44694 | CA | Primary |
Addresses
Primary practice location
2500 Alhambra Avenue
Contra Costa Regional Medical Center and Health Centers
Martinez, CA 94553-3156
Mailing address
50 Douglas Drive Suite 391
Health Services Administration
Martinez, CA 94553-4098
Phone (925) 957-5429
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190107003122 | CA | Order and Referring Only - Family Practice | 2264778539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44694 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962572867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DOUGLAS DRIVE SUITE 391",
"address_2": "HEALTH SERVICES ADMINISTRATION",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534098",
"telephone_number": "925-957-5429",
"fax_number": "925-957-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVENUE",
"address_2": "CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533156",
"telephone_number": "925-370-5110",
"fax_number": "925-370-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBANUGO",
"first_name": "OGO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A44694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.