AMECHI LILIAN OBODOAGHA
NPI 1104441401
Registered Nurse - Psychiatric/Mental Health in Gardena, CA
About Amechi Lilian Obodoagha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMECHI LILIAN OBODOAGHA (NPI 1104441401) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95128977) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amechi Lilian Obodoagha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amechi Obodoagha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
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 Amechi Obodoagha's NPI number?
The NPI number for Amechi Obodoagha is 1104441401. It was assigned to this individual provider in the NPPES registry on June 11, 2020.
Where is Amechi Obodoagha located?
Amechi Obodoagha practices at 1720 Marine Ave, Gardena, CA 90247. The listed phone number is (424) 263-0728.
What is Amechi Obodoagha's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.
Is Amechi Obodoagha enrolled in Medicare?
Yes. Amechi Obodoagha is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amechi Obodoagha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amechi Obodoagha reassigns Medicare benefits to Global Integrated Medical Group, Inc. (West Covina, CA). The 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 Amechi Obodoagha'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 Amechi Obodoagha was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Amechi Lilian Obodoagha · NPI 1104441401
Psychiatric/Mental Health provider in Gardena, California. Individual provider, active in the CMS NPPES registry since June 11, 2020.
## Identity
- **NPI:** 1104441401 (Entity type: Individual)
- **Enumerated:** June 11, 2020
- **Primary specialty:** Registered Nurse - Psychiatric/Mental Health · taxonomy 163WP0808X
- **State license:** 95128977 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1720 MARINE AVE, Gardena, CA 90247-3110
- **Phone:** (424) 263-0728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Global Integrated Medical Group, Inc. (NPI 1578019485, West Covina, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104441401) · Data from the CMS NPPES public registry.