CHARLES I OKONKWO MD INC (NPI# 1215115704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215115704 |
| Entity Type | Organization |
| Organization Name | CHARLES I OKONKWO MD INC |
| Practice Address |
231 W Vernon Ave Suite 105 Los Angeles CA 90037-2700 |
| Practice Telephone | 3232347200 |
| Practice Fax Number | 3232341922 |
| Mailing Telephone | 3232347200 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | DR. CHARLES IFEANYI OKONKWO (PRESIDENT) |
| Authorized Official Telephone | 3232347200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A31084 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A310840 | 05 | |
| CA | MEDICARE GROUP | W5103B | 01 |
| Street Address |
231 W VERNON AVE SUITE 105 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689628752 | Nathan A Javari | Podiatrist | 231 W Vernon Ave, Los Angeles, CA 90037-2778 | 2006-05-21 |
| 1073922910 | Cheryl Powell Md Inc | Ophthalmology | 231 W Vernon Ave, Ste 104, Los Angeles, CA 90037-2700 | 2014-08-05 |
| 1508293523 | Alvaro Cerda | Radiologic Technologist | 231 W Vernon Ave, Suite 111, Los Angeles, CA 90037-2700 | 2013-10-04 |
| 1316224967 | Adriana Covate | Social Worker | 231 W Vernon Ave, Los Angeles, CA 90037-2700 | 2011-11-10 |
| 1427292911 | Diane Garcia | Physician Assistant | 231 W Vernon Ave, Los Angeles, CA 90037-2700 | 2009-04-28 |
| 1568650604 | Michael G Goldstein Md Inc | General Practice | 231 W Vernon Ave, 204, Los Angeles, CA 90037-2700 | 2007-10-12 |
| 1861692600 | John B Simonds M.d., Inc. | General Practice | 231 W Vernon Ave, 204, Los Angeles, CA 90037-2700 | 2007-07-19 |
| 1376754127 | Northeast Community Clinic | Internal Medicine | 231 W Vernon Ave, Ste 203, Los Angeles, CA 90037-2700 | 2007-05-24 |
| 1053456921 | Advanced Respiratory Medical Systems Inc | Durable Medical Equipment & Medical Supplies | 231 W Vernon Ave, # 103, Los Angeles, CA 90037-2778 | 2007-02-20 |
| 1295877181 | Vernbro Medical Pharmacy Inc | Pharmacy | 231 W Vernon Ave, #100, Los Angeles, CA 90037-2700 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675824 | Cardiac Pet Partners Inc. | Internal Medicine | 8635 W 3rd St Ste 355, Los Angeles, CA 90048-6112 | 2018-10-17 |
| 1861967168 | Los Angeles Heart and Vein Center Inc | Internal Medicine | 1300 N Vermont Ave Ste 809, Los Angeles, CA 90027-6098 | 2018-10-12 |
| 1386156453 | Global Cardio Care Inc. | Internal Medicine | 11860 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6606 | 2017-10-30 |
| 1982115457 | Center for Advanced Cardiac and Vascular Interventions | Internal Medicine | 8635 W 3rd St Ste 695w, Los Angeles, CA 90048-6162 | 2017-10-23 |
| 1831611714 | Christine Pacheco Claudio | Internal Medicine | 127 S San Vincente, Barbra Streisand Women's Heart Health Center, Los Angeles, CA 90048 | 2017-07-12 |
| 1063886323 | Saman Fakheri Md Inc | Internal Medicine | 16601 Park Lane Cir, Los Angeles, CA 90049-1146 | 2015-11-23 |
| 1770965758 | Christopher W Chu Md, Inc | Internal Medicine | 711 W College St Ste 540, Los Angeles, CA 90012-1246 | 2015-06-25 |
| 1386088920 | Michael Siamak Shoai | Internal Medicine | 16604 Park Lane Pl, Los Angeles, CA 90049-1150 | 2013-04-25 |
| 1497095962 | Herbert Gold Sr. | Internal Medicine | 1284 Sunset Plaza Dr, Los Angeles, CA 90069 | 2013-02-21 |
| 1205187168 | Masood Haque | Internal Medicine | 2520 Nottingham Ave, Los Angeles, CA 90027-1039 | 2012-10-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
Please comment or provide details below to improve the information on CHARLES I OKONKWO MD INC.
| 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.