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ANGELA UGOCHI OTEGBULU NP
NPI 1073142121
Nurse Practitioner - Family in Gardena, CA

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
13812 SPINNING AVE, GARDENA, CA 90249(310) 529-4211 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 26, 2023, Apr 1, 2020 (2 updates tracked since 2020).

About Angela Ugochi Otegbulu Np NPPES

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

ANGELA UGOCHI OTEGBULU NP (NPI 1073142121) is an individual family provider in Gardena, California, licensed in California (95014215) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073142121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA UGOCHI OTEGBULUCredential: NP
Location Address13812 SPINNING AVEGardena, CA 90249-2365
Mailing AddressDone Address: 2029 Century Park East, Suite 400, Office #422Los Angeles, CA 90067 · (310) 529-4211
Phone(310) 529-4211
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2020
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1073142121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014215
13812 SPINNING AVE, Gardena, CA 90249
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Secondary Practice Location 1

Location 1Done Address: 2029 Century Park East, Suite 400, Office #422Los Angeles, CA 90067 · Phone (310) 529-4211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Ugochi Otegbulu Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537545389
PECOS Enrollment IDI20240204000114
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Angela Otegbulu's NPI number?

The NPI number for Angela Otegbulu is 1073142121. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Angela Otegbulu located?

Angela Otegbulu practices at 13812 Spinning Ave, Gardena, CA 90249. The listed phone number is (310) 529-4211.

What is Angela Otegbulu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Otegbulu enrolled in Medicare?

Yes. Angela Otegbulu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angela Otegbulu was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.