Active NPI
Ijeoma Otuechere
- Registered Nurse
- Riverside, CA
National Provider Identifier
1003529819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95240290
- Practice address
- 19587 Krameria Ave
Riverside, CA 92508-6800 - Phone
- (909) 587-7249
- NPI assigned
- Dec 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95240290 | CA | Primary |
Addresses
Primary practice location
19587 Krameria Ave
Riverside, CA 92508-6800
Mailing address
19587 Krameria Ave
Riverside, CA 92508-6800
Phone (909) 587-7249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95240290 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1003529819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19587 KRAMERIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925086800",
"telephone_number": "909-587-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19587 KRAMERIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925086800",
"telephone_number": "909-587-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTUECHERE",
"first_name": "IJEOMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-27",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95240290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.