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MR. OBIDI OBIENU
NPI 1780007179
Nurse Practitioner - Family in Los Angeles, CA

Active since January 21, 2014PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90033(323) 409-1000(323) 441-8079 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1780007179
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. OBIDI OBIENU
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address7723 Dalton AveLos Angeles, CA 90047-2510
Phone(323) 409-1000
Fax(323) 441-8079
Sole ProprietorNo
Enumeration DateJanuary 21, 2014
✔ NPI 1780007179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95000186
1200 N STATE ST, Los Angeles, CA 90033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Obidi Obienu 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.

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.

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 20

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

DR. LUCILLE CHAILLE
Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 226-2170
DR. THIENDANG VIET NGUYEN M.D.
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7748
DR. PHIL ORALLO CASTILLO M.D.
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
NOA CARTER STERLING M.D.
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8847
CHRYSTAL LYNNE JONES RCP
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000
MAY SUNDONGMEI WU RESP THERAPIST
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1824
BRETT BARRO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (213) 705-5282
ALBERT CHEN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7686

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.

What insurance does Obidi Obienu accept?

Health plans from Providence Health Plan list Obidi Obienu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.