OKE ADRIAN ANAKWENZE (NPI# 1043418759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043418759 |
| Entity Type | Individual |
| Full Name | OKE ADRIAN ANAKWENZE |
| Credential | MD |
| Practice Address |
3750 Convoy St Ste 201 San Diego CA 92111-3770 |
| Mailing Address |
3750 Convoy St 201 Olympic Orthopedics San Diego CA 92111-3770 |
| Practice Telephone | 8583002260 |
| Practice Fax Number | 8583002260 |
| Mailing Telephone | 8583002260 |
| Mailing Fax Number | 8585691337 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MT190910 | PA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A126807 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2777 Jefferson St Ste 100, Carlsbad, CA 920081743 | 8583002260 | 8582781708 |
| Street Address |
3750 CONVOY ST STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194121954 | Kellie Johnson Matusalem | Physician Assistant | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2014-11-06 |
| 1982991501 | Kandice Renee Beenken | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2011-07-04 |
| 1689990913 | Mark Schultzel | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629092473 | Tal David | Orthopaedic Surgery | 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 | 2006-07-26 |
| 1518997378 | John Charles Austin | Orthopaedic Surgery | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2006-07-04 |
| 1982607867 | Jonathan J. Myer | Orthopaedic Surgery | 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 | 2005-05-24 |
| 1285939330 | Robert E. Berry, Do, PC | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2011-01-21 |
| 1104081363 | Adnan Cutuk | Orthopaedic Surgery | 3750 Convoy Street, Suite 116, San Diego, CA 92111-3739 | 2008-07-26 |
| 1548473945 | David Thomas Easley | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1959 | 2007-05-08 |
| 1326184250 | David J. Chao Md, Inc | Orthopaedic Surgery | 8901 Activity Road, San Diego, CA 92126 | 2007-01-29 |
| 1851437792 | Tal David, Md, Inc | Orthopaedic Surgery | 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 | 2007-01-29 |
| 1407904584 | William Joseph Previte | Orthopaedic Surgery | 7525 Linda Vista Rd, Suite C, San Diego, CA 92111-5344 | 2007-01-08 |
| 1730290289 | David J Chao | Orthopaedic Surgery | 8901 Activity Rd, San Diego, CA 92126-4427 | 2006-08-31 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.