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IJEOMA H EZEMONYE NP
NPI 1396257382
Nurse Practitioner in South Gate, CA

Active since October 30, 2017PECOS Enrolled
5831 FIRESTONE BLVD STE E, SOUTH GATE, CA 90280(562) 806-7545 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Oct 27, 2023, Oct 30, 2017 (3 updates tracked since 2017).

About Ijeoma H Ezemonye Np NPPES

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

IJEOMA H EZEMONYE NP (NPI 1396257382) is an individual nurse practitioner in South Gate, California, licensed in California (95007825) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396257382
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameIJEOMA H EZEMONYECredential: NP
Location Address5831 FIRESTONE BLVD STE ESouth Gate, CA 90280-3718
Mailing Address5831 Firestone Blvd Ste ESouth Gate, CA 90280-3718 · (562) 806-7545
Phone(562) 806-7545
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1396257382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95007825
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5831 FIRESTONE BLVD STE E, South Gate, CA 90280
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ijeoma H Ezemonye Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527322148
PECOS Enrollment IDI20180508001496
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 Ijeoma Ezemonye reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Care Community Health Center, Inc
Same address
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
5831 FIRESTONE BLVD STE E
South Gate, CA 90280
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1811397888 (562) 806-7545
Southern California Permanente Medical Group
3.7 mi
Health Maintenance Organization
9400 ROSECRANS AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242555 (562) 461-3000
El Dorado Community Service Center
9.6 mi
Primary Care
21507 NORWALK BLVD
Hawaiian Gardens, CA 90716
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1821167305 (562) 916-7581

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90280 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA ALEJANDRA ROBLES GOMEZ M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (562) 600-4471
JOSEFINA CLARK CNM
Midwife
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (323) 521-5887
KAMILA COMPREHENSIVE HEALTH CENTER, INC.
Physician Assistant (Medical)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (562) 806-7545
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (562) 806-7545
DR. DMITRIY ROMANENKO M.D.,
Obstetrics & Gynecology
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (323) 240-1938
LUCAS CADENA
Student in an Organized Health Care Education/Training Program
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Los Angeles County (310) 730-6362

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 Ijeoma Ezemonye's NPI number?

The NPI number for Ijeoma Ezemonye is 1396257382. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Ijeoma Ezemonye located?

Ijeoma Ezemonye practices at 5831 Firestone Blvd Ste E, South Gate, CA 90280. The listed phone number is (562) 806-7545.

What is Ijeoma Ezemonye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ijeoma Ezemonye enrolled in Medicare?

Yes. Ijeoma Ezemonye is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ijeoma Ezemonye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ijeoma Ezemonye reassigns Medicare benefits to 3 organizations: Complete Care Community Health Center, Inc (South Gate, CA), Southern California Permanente Medical Group (Bellflower, CA) and El Dorado Community Service Center (Hawaiian Gardens, 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 Ijeoma Ezemonye'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 Ijeoma Ezemonye was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.