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DR. OTHELLA THERESA OWENS MD
NPI 1033138110
Otolaryngology - Plastic Surgery within the Head & Neck in Los Angeles, CA

Active since July 19, 2006PECOS Enrolled
1127 WILSHIRE BLVD, SUITE 1604, LOS ANGELES, CA 90017(213) 250-5470(213) 250-5468 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Othella Theresa Owens Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OTHELLA THERESA OWENS MD (NPI 1033138110) is an individual plastic surgery within the head & neck provider in Los Angeles, California, licensed in California (G42573) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1978).

NPPES Registry Identity

NPI1033138110
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameDR. OTHELLA THERESA OWENSCredential: MD
Location Address1127 WILSHIRE BLVD, SUITE 1604Los Angeles, CA 90017-4007
Mailing Address1127 Wilshire Blvd, Suite 1604Los Angeles, CA 90017-4007 · (213) 250-5470 · Fax (213) 250-5468
Phone(213) 250-5470
Fax(213) 250-5468
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1978
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1033138110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in CA · G42573
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1127 WILSHIRE BLVD, Los Angeles, CA 90017
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Other Identifiers 3

Medicaid00G425730CA
Medicare ID-Type UnspecifiedG4273BCA
Medicare UPINB57152

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Othella Theresa Owens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890709802
PECOS Enrollment IDI20060130000371
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAU DENTAL GROUP
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE #1608
LOS ANGELES, CA 90017
Los Angeles County (213) 481-1100
DR. ADELAIDA T QUINGCO DDS
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE 1103
LOS ANGELES, CA 90017
Los Angeles County (213) 250-3998
DR. ARLIENE O YAP M.D.
Specialist
1127 WILSHIRE BLVD, SUITE 507
LOS ANGELES, CA 90017
Los Angeles County (213) 380-4604
WILSHIRE CENTER FOR AMBULATORY SURGERY, INC.
Clinic/Center (Ophthalmologic Surgery)
1127 WILSHIRE BLVD, SUITE 1515
LOS ANGELES, CA 90017
Los Angeles County (213) 250-7243
SAN CRISTOBAL MEDICAL GROUP, INC
Pain Medicine (Interventional Pain Medicine)
1127 WILSHIRE BLVD, STE 820
LOS ANGELES, CA 90017
Los Angeles County (213) 413-4203
UNITED MEDICAL RADIOLOGY NETWORK
Clinic/Center (Radiology)
1127 WILSHIRE BLVD, # 100
LOS ANGELES, CA 90017
Los Angeles County (213) 202-5785
DR. ELLIS NORMAN BEESLEY JR. M.D.
Pediatrics (Adolescent Medicine)
1127 WILSHIRE BLVD, SUITE 707
LOS ANGELES, CA 90017
Los Angeles County (213) 482-4830
DR. ALEX PARSI D. D. S.
Dentist (Endodontics)
1127 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90017
Los Angeles County (213) 291-7358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Othella Owens's NPI number?

The NPI number for Othella Owens is 1033138110. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Othella Owens located?

Othella Owens practices at 1127 Wilshire Blvd Suite 1604, Los Angeles, CA 90017. The listed phone number is (213) 250-5470.

What is Othella Owens's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Othella Owens enrolled in Medicare?

Yes. Othella Owens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Othella Owens was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.