Edward Nana Opoku Jr., D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A11418 Issued in CA

Practice address

2222 Foothill Blvd # E122
La Canada Flintridge, CA 91011-1456

Phone

(310) 936-4782

NPI assigned

Oct 17, 2011

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

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  • NPI 1770259749
  NPD Authorized official
• Los Alamitos Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)
• Yehowa Medical Services

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1093095192
  NPD (past)
• Yehowa Medical Services

  • Federally Qualified Health Center (FQHC)
  • South Gate, CA
  • NPI 1689495673
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1982989380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 POTOMAC AVE # 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165708",
            "telephone_number": "213-389-2526",
            "fax_number": "213-389-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 FOOTHILL BLVD # E122",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111456",
            "telephone_number": "310-936-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "EDWARD",
        "middle_name": "NANA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A11418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Nash
• Neuro Network, Inc.
• Mealynne Ngu, MSN, APRN, CPNP-PC
• Michael Robert Obarski, PH.D.
• Oktanyan Dental Corporation
• Nina Suzanne Paddock, MPH, RDN
• Pedro a. Romero, D.D.S., Inc.
• Perfect Dose LLC
• Lilit Pogosian, M.D.
• Elizabeth Poloskov, PH.D.

• General Practice Physician in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.