CATHERINE O EZEALAOFOR
NPI 1952011975
Nurse Practitioner - Family in Los Angeles, CA

Active since November 30, 2022PECOS Enrolled
1670 E 120TH ST, LOS ANGELES, CA 90059(424) 338-1000 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2025, Nov 30, 2022 (2 updates tracked since 2022).

About Catherine O Ezealaofor NPPES

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

CATHERINE O EZEALAOFOR (NPI 1952011975) is an individual family provider in Los Angeles, California, licensed in California (95022875) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952011975
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE O EZEALAOFOR
Location Address1670 E 120TH STLos Angeles, CA 90059-3026
Mailing Address11423 Menlo Ave Apt AHawthorne, CA 90250-0909 · (562) 303-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 30, 2022
Last NPPES UpdateDecember 20, 20252 updates tracked since enumeration
NPPES CertifiedDecember 20, 2025
NPI 1952011975 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 · 95022875
1670 E 120TH ST, Los Angeles, CA 90059

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Catherine O Ezealaofor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214423516
PECOS Enrollment IDI20260106002918
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 90059 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.

Nurse Practitioner
1670 E 120TH ST
LOS ANGELES, CA 90059
Respiratory Therapist, Registered
1670 E 120TH ST
LOS ANGELES, CA 90059
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Registered Nurse (Ambulatory Care)
1670 E 120TH ST
LOS ANGELES, CA 90059
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Obstetrics & Gynecology
1670 E 120TH ST
LOS ANGELES, CA 90059
Social Worker (Clinical)
1670 E 120TH ST
LOS ANGELES, CA 90059

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 Catherine Ezealaofor's NPI number?

The NPI number for Catherine Ezealaofor is 1952011975. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Catherine Ezealaofor located?

Catherine Ezealaofor practices at 1670 E 120th St, Los Angeles, CA 90059. The listed phone number is (424) 338-1000.

What is Catherine Ezealaofor's specialty?

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

Is Catherine Ezealaofor enrolled in Medicare?

Yes. Catherine Ezealaofor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Catherine Ezealaofor was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.