KENNETH EJIOGU NPI 1639647019

NPI Information

  • NPI: 1639647019
  • Provider Name: KENNETH EJIOGU
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1127 WILSHIRE BLVD STE 800
    LOS ANGELES, CA
    ZIP 90017
  • Phone: (213) 839-1119

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NPI Details

Kenneth Ejiogu is a family nurse practitioner in Los Angeles, CA with 8 years of experience. Kenneth Ejiogu NPI is 1639647019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1127 WILSHIRE BLVD STE 800
LOS ANGELES, CA
ZIP 90017-909
Phone: (213) 839-1119

The NPI 1639647019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 11/5/2018 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95011746CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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