MR. OBIDI OBIENU
NPI 1780007179
Nurse Practitioner - Family in Los Angeles, CA
About Mr. Obidi Obienu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. OBIDI OBIENU (NPI 1780007179) is an individual family provider in Los Angeles, California, licensed in California (95000186) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Obidi Obienu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Obidi Obienu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Creek, CA 94597
- Reassigned Medicare billing, California enrollment
- 149 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 90033 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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Obidi Obienu's NPI number?
The NPI number for Obidi Obienu is 1780007179. It was assigned to this individual provider in the NPPES registry on January 21, 2014.
Where is Obidi Obienu located?
Obidi Obienu practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 409-1000.
What is Obidi Obienu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Obidi Obienu enrolled in Medicare?
Yes. Obidi Obienu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Obidi Obienu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Obidi Obienu reassigns Medicare benefits to Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, CA). The 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 Obidi Obienu'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 Obidi Obienu was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Obidi Obienu · NPI 1780007179
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 21, 2014.
## Identity
- **NPI:** 1780007179 (Entity type: Individual)
- **Enumerated:** January 21, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95000186 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, Los Angeles, CA 90033-1029
- **Phone:** (323) 409-1000 · **Fax:** (323) 441-8079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Comprehensive Psychiatric Services, A Medical Group (NPI 1184785834, Walnut Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1780007179) · Data from the CMS NPPES public registry.