Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902511363 Deactivated / Inactive NPI Male Practitioner

Okezika Nkenna Agu

Driver • Carson, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Okezika Agu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 19, 2023
NPI Deactivation Date August 16, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Okezika Agu was a registered Driver practicing in Carson, CA. Throughout an active medical career spanning 1 years, Okezika Agu provided care at the practice location at 17634 MAPLE DR until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

17634 Maple Dr

Carson, CA 907467407

Telephone 3109945338
Fax 8184650300

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Carson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Carson, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License CA F4822738

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active January 19, 2023

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2023

Registered at 17634 MAPLE DR, CARSON, CA 907467407 (Tel: 3109945338)

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Updated Business Mailing Address January 19, 2023

Registered at 17634 MAPLE DR, CARSON, CA 907467407 (Tel: 3109945338)

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Provider Name / Credentials Updated January 19, 2023

Recorded as OKEZIKA AGU

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2023

Driver (License #F4822738 in CA)

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Initial NPI Registration & Enumeration January 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902511363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2023
Last Update: January 19, 2023
Deactivation Date: August 16, 2023

Mailing Address

17634 Maple Dr

Carson, CA 907467407

Phone: 3109945338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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