ANGELA UGOCHI OTEGBULU NP
NPI 1073142121
Nurse Practitioner - Family in Gardena, CA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Angela Otegbulu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
West Covina, CA 91790
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Angela Otegbulu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Otegbulu reassigns Medicare benefits to 2 organizations: Ehab Yacoub MD Inc. (Gardena, CA) and Zenmedicine (West Covina, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Otegbulu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Otegbulu accept?
Health plans from Blue Cross and Blue Shield of Texas list Angela Otegbulu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 3 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.
# Angela Ugochi Otegbulu, NP · NPI 1073142121
Family physician in Gardena, California. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1073142121 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014215 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13812 SPINNING AVE, Gardena, CA 90249-2365
- **Phone:** (310) 529-4211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); Zenmedicine (NPI 1821567488, West Covina, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073142121) · Data from the CMS NPPES public registry.