SANDE O OKELO M.D.
NPI 1255385985
Pediatrics - Pediatric Pulmonology in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.

Active since May 19, 2006PECOS Enrolled

10833 LE CONTE AVE, 12-311 MDCC, LOS ANGELES, CA 90095(310) 267-0606 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sande O Okelo M.d. NPPES

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

SANDE O OKELO M.D. (NPI 1255385985) is an individual pediatric pulmonology provider in Los Angeles, California, licensed in California (A68246) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255385985

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameSANDE O OKELOCredential: M.D.

Location Address10833 LE CONTE AVE, 12-311 MDCCLos Angeles, CA 90095-3075

Mailing Address10833 Le Conte Ave, 32-263 ChsLos Angeles, CA 90095-3075 · (310) 267-0606

Phone(310) 267-0606

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateNovember 16, 2011

✔ NPI 1255385985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

Licenses✔ Licensed in CA · A68246✔ Licensed in MD · D56975

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

10833 LE CONTE AVE, Los Angeles, CA 90095

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Other Identifiers 7

Medicare PINFI774ZCA

Medicare ID-Type UnspecifiedKR44JHMD · Group

Medicare ID-Type UnspecifiedH143MD · Individual

Medicaid952101100MD

Medicare UPINH97232MD

Medicare PINW11810 GROUPCA

Medicare PIN161348YTJMD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sande O Okelo M.d. 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.