Doris Nwosu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020627 Issued in CA

Practice address

10440 Black Mountain Rd # K2102
San Diego, CA 92126-2910

Phone

(909) 446-5015

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1023794682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16832",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921766832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 BLACK MOUNTAIN RD # K2102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262910",
            "telephone_number": "909-446-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "DORIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chika Rebecca Nwachukwu, MD
• Uchechi Deborah Nwachukwu, SUD
• Celina Ngozi Nwagbo, RN
• Ezekiel Osondo Nwaigwe, RDN
• Kindness Nwakudu, DO
• Joan Ozioma Nwosu
• Sandra Ujunwa Nwosu, MD
• Lisa M. Nyberg, MD
• Martin Erik Nyberg, SUD COUNSELOR
• Derek Russell Nye, RN, PHN

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.