Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Catherine O Ezealaofor

Individual provider Family Nurse Practitioner · NPI 1952011975

Catherine O Ezealaofor is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022

Practice location Address checks out

1670 E 120th St
Los Angeles, CA 90059-3026
Phone: (424) 338-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95022875 (CA)

Record details

NPI number1952011975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESDecember 20, 2025
Certification dateDecember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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