JESSICA CHIKAODILI ODOH
NPI 1891679213
Nurse Practitioner - Family in Long Beach, CA

Q: What is Jessica Odoh's NPI number?

The NPI number for Jessica Odoh is 1891679213. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Q: What is Jessica Odoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Odoh was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 31, 2025PECOS Enrolled

200 OCEANGATE STE 100, LONG BEACH, CA 90802(888) 562-5442 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Chikaodili Odoh NPPES

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

JESSICA CHIKAODILI ODOH (NPI 1891679213) is an individual family provider in Long Beach, California, licensed in California (95033806) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891679213

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA CHIKAODILI ODOH

Location Address200 OCEANGATE STE 100Long Beach, CA 90802-4317

Mailing Address42560 Moraga Rd Apt 203Temecula, CA 92591-4788 · (407) 312-2312

Phone(888) 562-5442

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 31, 2025

Last NPPES UpdateAugust 11, 2025

NPPES CertifiedAugust 11, 2025

✔ NPI 1891679213 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 · 95033806

200 OCEANGATE STE 100, Long Beach, CA 90802

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Chikaodili Odoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305348566

PECOS Enrollment IDI20250906000241

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 90802 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.

MOLINA MEDICAL GROUP OF NEW MEXICO, PC

Family Medicine