Obidiugwu Kenrick Duru (NPI# 1447276365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1447276365 |
| Entity Type | Individual |
| Full Name | Obidiugwu Kenrick Duru |
| Credential | MD |
| Gender | Male |
| Practice Address |
200 Medical Plaza #214,365,530,420,120 Los Angeles CA 90095 |
| Practice Telephone | 3102066232 |
| Mailing Address |
5767 W. Century Blvd #400 Los Angeles CA 90045-5655 |
| Mailing Telephone | 3102066232 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2010-06-14 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | A75361 | CA |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| CA | 00A753610 | MEDICAID |
| NPI | 1447276365 |
| PAC ID by PECOS | 2163565169 |
| Professional Enrollment ID | I20100129000339 |
| Full Name | Obidiugwu Duru |
| Organization Legal Name | UC REGENTS |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355248584 |
| Number of Group Practice Members | 824 |
| Accepts Medicare Assignment | Y |
| Report Quality Measures | Y |
| Use Electronic Health Records | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050262 | RONALD REAGAN U C L A MEDICAL CENTER |
| 050112 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| Street Address |
200 MEDICAL PLAZA #214,365,530,420,120 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379513 | Lloyd S Miller | Dermatology | 200 Medical Plaza, #450, Los Angeles, CA 90095-3075 | 2006-03-09 |
| 1164912267 | Alice K Lee | Nurse Practitioner | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-05-14 |
| 1295239895 | James Michael Weinberger | Student in an Organized Health Care Education/Training Program | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-03-20 |
| 1487065777 | Scott Robert Boynton | Student in an Organized Health Care Education/Training Program | 200 Medical Plaza, Los Angeles, CA 90095-6628 | 2014-05-08 |
| 1487064564 | Navid Darouian | Internal Medicine | 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90024-0001 | 2014-04-29 |
| 1518386796 | Donald Elmore Dietz Iv | Internal Medicine | 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 | 2014-04-15 |
| 1760825590 | Connie Huey Lin | Student in an Organized Health Care Education/Training Program | 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 | 2013-04-11 |
| 1447593645 | Yue Ma | Student in an Organized Health Care Education/Training Program | 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 | 2013-04-05 |
| 1710229281 | Juveria Abdullah | Hospitalist | 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90095 | 2013-03-22 |
| 1295098283 | Ingrid Edshteyn | Preventive Medicine | 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 | 2012-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1952894487 | Tony Chan | Optometrist | 200 Stein Plaza Ds-124, Los Angeles, CA 90095 | 2018-06-09 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| 1720583560 | Shire Lynn Beach | Student in an Organized Health Care Education/Training Program | Ucla Medicine Education Office, Rrucla Medical Center, 757 Westwood Plaza, Suite 7501, Los Angeles, CA 90095 | 2018-03-26 |
| 1619471661 | Abigail Rose Olson Arons | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Medicine-pediatrics, Los Angeles, CA 90095 | 2018-03-22 |
| 1184128688 | Nima Moaven | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave Fl 2, Los Angeles, CA 90095 | 2018-03-20 |
| 1487156428 | Merdie Kristine Delfin | Nurse Practitioner | 200 Medical Plaza 140, Los Angeles, CA 90095 | 2018-03-06 |
| 1346742947 | Oscar Rinon Jr. | Specialist/Technologist | 2131 John Wooden Center, Los Angeles, CA 90095 | 2018-02-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
| 1114493301 | Daniel Rheem M.d., Inc. | Internal Medicine | 505 S Virgil Ave Ste 102, Los Angeles, CA 90020-1407 | 2018-10-16 |
| 1316412729 | Family Care Physicians Inc | Internal Medicine | 4201 Wilshire Blvd Ste 334, Los Angeles, CA 90010-3611 | 2018-10-11 |
| 1023595170 | Premier Point Medical Group | Internal Medicine | 11819 Wilshire Blvd Ste 208, Los Angeles, CA 90025-6631 | 2018-07-22 |
| 1932695079 | Missak Kltchian Md Inc. | Internal Medicine | 4645 Hollywood Blvd Ste 2/4, Los Angeles, CA 90027-5455 | 2018-07-02 |
| 1598250052 | Surina Hemani | Internal Medicine | 1701 E Cesar E Chavez Ave Ste 100, Los Angeles, CA 90033-2496 | 2018-06-27 |
| 1386131340 | Sylvia Gates Carlisle | Internal Medicine | 4859 W Slauson Ave Ste 213, Los Angeles, CA 90056-3208 | 2018-04-16 |
| 1083110704 | Fusion Corporate Health Services, Inc. | Internal Medicine | 2121 Avenue of The Stars Ste 49, Los Angeles, CA 90067-5010 | 2018-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.