DR. NNENNAYA O OMERIGBO DO
NPI 1922011816
Pediatrics in Los Angeles, CA
About Dr. Nnennaya O Omerigbo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NNENNAYA O OMERIGBO DO (NPI 1922011816) is an individual pediatrics provider in Los Angeles, California, licensed in California (20A7791) and active in the NPI registry since August 2006. She 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)
Dr. Nnennaya O Omerigbo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nnennaya Omerigbo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 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 90062 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90062
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 Nnennaya Omerigbo's NPI number?
The NPI number for Nnennaya Omerigbo is 1922011816. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is Nnennaya Omerigbo located?
Nnennaya Omerigbo practices at 3834 S Western Ave, Los Angeles, CA 90062. The listed phone number is (323) 730-1920.
What is Nnennaya Omerigbo's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nnennaya Omerigbo enrolled in Medicare?
Yes. Nnennaya Omerigbo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nnennaya Omerigbo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nnennaya Omerigbo reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Nnennaya Omerigbo'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 Nnennaya Omerigbo was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Nnennaya O Omerigbo, DO · NPI 1922011816
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1922011816 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 20A7791 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3834 S WESTERN AVE, Los Angeles, CA 90062-1104
- **Phone:** (323) 730-1920 · **Fax:** (323) 732-7786
## 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:** Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922011816) · Data from the CMS NPPES public registry.