Individual provider Active NPI

Ngozi Vivian Onyia

  • Family Nurse Practitioner
  • Gardena, CA
National Provider Identifier
1992531214
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023254 Issued in CA
Practice address
1543 W 152ND St
Gardena, CA 90247-3103
Phone
(213) 447-6981
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023254 CA Primary

Addresses

Primary practice location

1543 W 152ND St
Gardena, CA 90247-3103

Mailing address

1543 W 152ND St
Gardena, CA 90247-3103
Phone (213) 447-6981

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102003387 CA Practitioner - Nurse Practitioner 7214464288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Doctors Group, IncGroup PAC ID 6305092768, 10 clinicians

Practice addresses (Care Compare)

1700 Westwood Blvd
Los Angeles, CA 90024-5608
Phone (310) 475-4865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023254CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Doctors Group, Inc CurrentSince Nov 25, 2024 Accepting new patients

Locations

1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1992531214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 W 152ND ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473103",
            "telephone_number": "213-447-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 W 152ND ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473103",
            "telephone_number": "213-447-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYIA",
        "first_name": "NGOZI",
        "middle_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.