CHIUGO SANDRA OKONKWO
NPI 1093300600
Registered Nurse - Psychiatric/Mental Health in Culver City, CA

Active since March 05, 2021PECOS Enrolled
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2024, May 14, 2024, Aug 24, 2021 and 2 more (5 updates tracked since 2021).

About Chiugo Sandra Okonkwo NPPES

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

CHIUGO SANDRA OKONKWO (NPI 1093300600) is an individual psychiatric/mental health provider in Culver City, California, licensed in California (95146810) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carson.

NPPES Registry Identity

NPI1093300600
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameCHIUGO SANDRA OKONKWO
Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356
Fax(310) 945-3356
Sole ProprietorNo
Enumeration DateMarch 5, 2021
Last NPPES UpdateJune 17, 20245 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1093300600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 95146810
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95016653 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95016653 (CA)
9808 VENICE BLVD STE 700, Culver City, CA 90232

Secondary Practice Location 1

Location 119423 Radlett AveCarson, CA 90746-2685 · Phone (323) 532-0545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiugo Sandra Okonkwo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Chiugo Okonkwo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
540 E ARTESIA BL
Long Beach, CA 90805
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
Family Medicine
21540 30TH DR SE STE 400
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 207 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.

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.

Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Peer Specialist
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232

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 Chiugo Okonkwo's NPI number?

The NPI number for Chiugo Okonkwo is 1093300600. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Chiugo Okonkwo located?

Chiugo Okonkwo practices at 9808 Venice Blvd Ste 700, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Chiugo Okonkwo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Chiugo Okonkwo enrolled in Medicare?

Yes. Chiugo Okonkwo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chiugo Okonkwo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chiugo Okonkwo reassigns Medicare benefits to 3 organizations: Molina Healthcare Of California (Long Beach, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Healthcare Of Washington, Inc (Bothell, WA). 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 Chiugo Okonkwo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chiugo Okonkwo was last updated on June 17, 2024. 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.