Healthcare Provider Details

I. General information

NPI: 1700414398
Provider Name (Legal Business Name): ONYINYE OKEZIE MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 BRIMHALL RD BLDG 100
BAKERSFIELD CA
93312-2327
US

IV. Provider business mailing address

8501 BRIMHALL RD BLDG 100
BAKERSFIELD CA
93312-2327
US

V. Phone/Fax

Practice location:
  • Phone: 661-370-0777
  • Fax: 661-654-8366
Mailing address:
  • Phone: 661-370-0777
  • Fax: 661-654-8366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: APRIL LOPEZ
Title or Position: ASSISTANT MANAGER
Credential:
Phone: 661-370-0777