Angela Otegbulu, NP
NPI 1073142121 · Family Nurse Practitioner · Gardena, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angela Otegbulu, NP is a Family Nurse Practitioner provider in Gardena, CA (NPI 1073142121).
Provider details
- NPI number
- 1073142121
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95014215 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- Done Address: 2029 Century Park East, Suite 400Office #422Los Angeles, CA 90067Phone: (310) 529-4211
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2023-10-26
- Certified
- 2023-10-25
Frequently asked questions
- What is Angela Otegbulu's NPI number?
- Angela Otegbulu's National Provider Identifier (NPI) is 1073142121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angela Otegbulu's specialty?
- Angela Otegbulu is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Angela Otegbulu located?
- Angela Otegbulu's practice location on file with NPPES is 13812 Spinning Ave, Gardena, CA 90249-2365.
- What is Angela Otegbulu's phone number?
- The practice phone number listed in the NPPES registry for Angela Otegbulu is (310) 529-4211.
- Does Angela Otegbulu accept Medicare?
- Angela Otegbulu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Angela Otegbulu's NPI active?
- Yes — Angela Otegbulu's NPI (1073142121) is active in the NPPES registry as of the last update on 2023-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.