CHARLENE NGOZI AZONWU NP
NPI 1184375859
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA
About Charlene Ngozi Azonwu Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLENE NGOZI AZONWU NP (NPI 1184375859) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95019744) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Charlene Ngozi Azonwu 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 Charlene Azonwu 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
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GARDENA, CA 90248
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 Charlene Azonwu's NPI number?
The NPI number for Charlene Azonwu is 1184375859. It was assigned to this individual provider in the NPPES registry on January 14, 2022.
Where is Charlene Azonwu located?
Charlene Azonwu practices at 1225 W 190th St, Gardena, CA 90248. The listed phone number is (310) 515-8113.
What is Charlene Azonwu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Charlene Azonwu enrolled in Medicare?
Yes. Charlene Azonwu 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 Charlene Azonwu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Azonwu reassigns Medicare benefits to 2 organizations: Ehab Yacoub MD Inc. (Gardena, CA) and Grow Healthcare Group PC (San Jose, 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 Charlene Azonwu'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 Charlene Azonwu was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Charlene Ngozi Azonwu, NP · NPI 1184375859
Psychiatric/Mental Health physician in Gardena, California. Individual provider, active in the CMS NPPES registry since January 14, 2022.
## Identity
- **NPI:** 1184375859 (Entity type: Individual)
- **Enumerated:** January 14, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95019744 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 W 190TH ST, Gardena, CA 90248-4320
- **Phone:** (310) 515-8113
## 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); Grow Healthcare Group PC (NPI 1154994846, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184375859) · Data from the CMS NPPES public registry.