CAROLINE O EGEKEZE (NPI# 1407873102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407873102 |
| Entity Type | Individual |
| Full Name | CAROLINE O EGEKEZE |
| Credential | M.D. |
| Practice Address |
3737 Martin Luther King Jr Blvd Suite 204 Lynwood CA 90262-3513 |
| Practice Telephone | 3105371221 |
| Practice Fax Number | 3107642409 |
| Mailing Telephone | 3105371221 |
| Mailing Fax Number | 3107642409 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A86266 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3737 MARTIN LUTHER KING JR BLVD SUITE 204 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036700 | Richard Seidman | Internal Medicine | 3737 Martin Luther King Jr Blvd, Ste 401, Lynwood, CA 90262-3513 | 2005-07-08 |
| 1952921280 | Angela Marie Garcia | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-04-16 |
| 1245870922 | Davisha Moaning | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-01-10 |
| 1871130484 | Sarah Taylor Ortega Flanagan | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-12-02 |
| 1467097055 | Yuna Kim | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-11-07 |
| 1376185710 | Aurora Godinez | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-10-16 |
| 1992356208 | Cindy Beas | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-27 |
| 1871142190 | Jeanette Losaria | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-09 |
| 1437644150 | Kevin Abraham Elgrichi | Dentist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-06-25 |
| 1861991663 | Tomanika Taylor | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811006943 | Mohini Aswani | Pediatrics | 3301 Beechwood Ave, Lynwood, CA 90262 | 2006-08-30 |
| 1104839091 | James Edward Saunders | Pediatrics | 3737 Martin Luther King Jr, Suite #204, Lynwood, CA 90262 | 2006-08-14 |
| 1609474949 | Chafik Dakak, M.d., Inc. | Pediatrics | 3301 Beechwood Ave, Lynwood, CA 90262-3301 | 2020-10-09 |
| 1558689984 | Kimberly Sobell Heugele | Pediatrics | 3628 E Imperial Hwy, Suite #301, Lynwood, CA 90262-2643 | 2010-05-10 |
| 1982766382 | Terence Tz Tan | Pediatrics | 3301 Beechwood Ave, Lynwood, CA 90262-3301 | 2006-12-14 |
| 1497861793 | Chong H Tak | Pediatrics | 3628 E Imperial Hwy, Suite 303, Lynwood, CA 90262-2643 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
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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.