NJIDEKA C. EZEOKOLI MD
NPI 1104974187
Pediatrics in San Diego, CA

Active since January 08, 2007PECOS Enrolled
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Njideka C. Ezeokoli Md NPPES

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

NJIDEKA C. EZEOKOLI MD (NPI 1104974187) is an individual pediatrics provider in San Diego, California, licensed in California (A63846) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104974187
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNJIDEKA C. EZEOKOLICredential: MD
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-5000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 3, 2021
NPI 1104974187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A63846
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4647 ZION AVE, San Diego, CA 92120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Njideka C. Ezeokoli Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Emergency Medicine
4647 ZION AVE
SAN DIEGO, CA 92120
Genetic Counselor, MS
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
General Acute Care Hospital
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104974187, enumerated as an "individual" on January 08, 2007.

The provider is located at 4647 ZION AVE SAN DIEGO, CA 92120 and the phone number is (619) 528-5000.

Pediatrics with taxonomy code 208000000X.