LYDIA OWUOR
NPI 1700080744
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Lydia Owuor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA OWUOR (NPI 1700080744) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95023366) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 and accepts Medicare assignment
Lydia Owuor 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 Lydia Owuor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90057 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90057
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 Lydia Owuor's NPI number?
The NPI number for Lydia Owuor is 1700080744. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Lydia Owuor located?
Lydia Owuor practices at 2500 Wilshire Blvd Ste 500, Los Angeles, CA 90057. The listed phone number is (213) 639-0242.
What is Lydia Owuor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lydia Owuor enrolled in Medicare?
Yes. Lydia Owuor 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 Lydia Owuor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Owuor reassigns Medicare benefits to 2 organizations: Mellow Medical Inc A Professional Corporation (West Hollywood, CA) and Ehab Yacoub MD Inc. (Gardena, 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 Lydia Owuor'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 Lydia Owuor was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Lydia Owuor · NPI 1700080744
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1700080744 (Entity type: Individual)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95023366 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2500 WILSHIRE BLVD STE 500, Los Angeles, CA 90057-4310
- **Phone:** (213) 639-0242
## 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): Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA); Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700080744) · Data from the CMS NPPES public registry.