THEO OGBONNA IKELE (NPI# 1871088518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871088518 |
| Entity Type | Individual |
| Full Name | THEO OGBONNA IKELE |
| Credential | NP |
| Practice Address |
1720 E Cesar E Chavez Ave White Memorial Medical Center, Behavioral Health Unit Los Angeles CA 90033-2414 |
| Mailing Address |
1720 E Cesar E Chavez Ave Los Angeles CA 90033-2414 |
| Practice Telephone | 3232655037 |
| Mailing Telephone | 3232655037 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP95008566 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1720 E CESAR E CHAVEZ AVE WHITE MEMORIAL MEDICAL CENTER, BEHAVIORAL HEALTH UNIT |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865023 | Michael Hernandez | Psychiatry & Neurology | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2005-07-18 |
| 1003423070 | Ah Yeon Chang | Registered Nurse | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-24 |
| 1447866173 | Diana Escobar | Nurse Practitioner | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-09-18 |
| 1023636487 | Chi Le Hau | Pharmacist | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-07-10 |
| 1073130951 | Evelyn Escobedo Pol | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-26 |
| 1154947240 | Natalie Laurence Shammas | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-24 |
| 1457977696 | Anna Catherine Yates | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-23 |
| 1497371769 | Asal Honei Homayouni | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-22 |
| 1366068215 | Katie Lynn Young | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| 1174149058 | Jessica Siu-ying Ehly-yu | Student in an Organized Health Care Education/Training Program | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994323 | Gina Ameri | Nurse Practitioner | 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 | 2020-08-24 |
| 1689203093 | Farooque Azam | Nurse Practitioner | 1654 Middleton Pl, Los Angeles, CA 90062-1033 | 2020-04-07 |
| 1336600410 | Karen Meske | Nurse Practitioner | 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 | 2019-03-29 |
| 1356822142 | Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp | Nurse Practitioner | 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 | 2018-08-28 |
| 1588161129 | Louise Thompson | Nurse Practitioner | 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 | 2018-04-10 |
| 1295248110 | Tehila Tanya Abrekov | Nurse Practitioner | 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 | 2017-11-14 |
| 1649545328 | Dana Lynn Lambrose | Nurse Practitioner | 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 | 2012-03-14 |
| 1427290030 | Gerald M Baltz | Nurse Practitioner | 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 | 2009-03-27 |
| 1568603256 | Jordan Swiskow | Nurse Practitioner | 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 | 2009-03-10 |
| 1316018591 | Sharon Collette Mcdaniel | Nurse Practitioner | 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 | 2006-11-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on THEO OGBONNA IKELE.
| 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.