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OKEKE KEVIN BAZEMORE
NPI 1982240818
Peer Specialist in San Diego, CA

Active since November 26, 2019
3491 KURTZ ST # 150, SAN DIEGO, CA 92110(619) 276-1176 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Jul 24, 2023, Nov 26, 2019 (3 updates tracked since 2019).

About Okeke Kevin Bazemore NPPES

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

OKEKE KEVIN BAZEMORE (NPI 1982240818) is an individual peer specialist in San Diego, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1982240818
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameOKEKE KEVIN BAZEMORE
Location Address3491 KURTZ ST # 150San Diego, CA 92110-4430
Mailing Address3491 Kurtz St # 150San Diego, CA 92110-4430 · (619) 276-1176
Phone(619) 276-1176
Sole ProprietorNo
Enumeration DateNovember 26, 2019
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1982240818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3491 KURTZ ST # 150, San Diego, CA 92110
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Other Providers at the Same Location NPPES 10

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

TIFFANY LAMB
Rehabilitation Practitioner
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 332-5830
JASMINE BARBUSCA
Rehabilitation Practitioner
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
GABRIELLA MARIE GARCIA
Adult Companion
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 276-1176
MOISES HARO
Case Manager/Care Coordinator
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
DEMI RAYE FITZPATRICK
Counselor (Mental Health)
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
MELODY RAMOS LVN
Licensed Vocational Nurse
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 276-1176
CHANDRA VINCENT
Registered Nurse
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
ADELLE GRACE PHILLIPS
Student in an Organized Health Care Education/Training Program
3491 KURTZ ST # 150
SAN DIEGO, CA 92110
San Diego County (619) 276-1176

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 Okeke Bazemore's NPI number?

The NPI number for Okeke Bazemore is 1982240818. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Okeke Bazemore located?

Okeke Bazemore practices at 3491 Kurtz St # 150, San Diego, CA 92110. The listed phone number is (619) 276-1176.

What is Okeke Bazemore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Okeke Bazemore was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.