DR. GEOFFREY PATRICK OKOTH ODHIAMBO DNP PMHNP-BC FNP-C NPI 1124520341

NPI Information

  • NPI: 1124520341
  • Provider Name: DR. GEOFFREY PATRICK OKOTH ODHIAMBO, DNP, PMHNP-BC, FNP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 N SEPULVEDA BLVD STE 270
    MANHATTAN BEACH, CA
    ZIP 90266
  • Phone: (925) 282-1778

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NPI Details

DR. Geoffrey Patrick Okoth Odhiambo, DNP, PMHNP-BC, FNP-C is a psychiatric/mental health nurse practitioner in Manhattan Beach, CA with 5 years of experience. DR. Geoffrey Patrick Okoth Odhiambo, DNP, PMHNP-BC, FNP-C NPI is 1124520341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 N SEPULVEDA BLVD STE 270
MANHATTAN BEACH, CA
ZIP 90266-975
Phone: (925) 282-1778
Fax: (415) 296-5299

The NPI 1124520341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2018 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95006514CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95006514CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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