ELECHI M EGEONUIGWE
NPI 1952901969
Nurse Practitioner - Family in Los Angeles, CA

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
11900 AVALON BLVD STE 100, LOS ANGELES, CA 90061(323) 920-4959(323) 920-4991 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elechi M Egeonuigwe NPPES

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

ELECHI M EGEONUIGWE (NPI 1952901969) is an individual family provider in Los Angeles, California, licensed in California (95015756) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952901969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELECHI M EGEONUIGWE
Location Address11900 AVALON BLVD STE 100Los Angeles, CA 90061-2867
Mailing Address11900 Avalon Blvd Ste 100Los Angeles, CA 90061-2867 · (323) 920-4959
Fax(323) 920-4991
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1952901969 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 · 95015756
11900 AVALON BLVD STE 100, Los Angeles, CA 90061

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elechi M Egeonuigwe is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678970605
PECOS Enrollment IDI20210917001899
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 90061 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 8

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

Nurse Practitioner (Family)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Primary Care)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
General Practice
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Family)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Psychiatric/Mental Health)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Psychiatric/Mental Health)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Clinic/Center (Federally Qualified Health Center (FQHC))
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Health Educator
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952901969, enumerated as an "individual" on October 28, 2020.

The provider is located at 11900 AVALON BLVD STE 100 LOS ANGELES, CA 90061 and the phone number is (323) 920-4959.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.