Active NPI
Akpene Gbegnon MD, Inc
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1992458608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- AKPENE GBEGNON MD, INC
- Practice address
- 6221 Wilshire Blvd Ste 404
Los Angeles, CA 90048-5224 - Phone
- (310) 433-8252
- Fax
- (310) 861-1904
- NPI assigned
- Feb 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akpene Gbegnon, MD
- Title
- President
- Phone
- (310) 433-8252
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6221 Wilshire Blvd Ste 404
Los Angeles, CA 90048-5224
Mailing address
11209 National Blvd # 158
Los Angeles, CA 90064-3902
Phone (310) 433-8252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12021 Wilmington Ave
Ste 2200
Los Angeles, CA 90059
Phone (310) 433-8252
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": "1643760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1992458608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11209 NATIONAL BLVD # 158",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643902",
"telephone_number": "310-433-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6221 WILSHIRE BLVD STE 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485224",
"telephone_number": "310-433-8252",
"fax_number": "310-861-1904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKPENE GBEGNON MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "GBEGNON",
"authorized_official_first_name": "AKPENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-433-8252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.