Individual provider Active NPI

Jennifer Onyekonwu-McGill, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Claremont, CA
National Provider Identifier
1063686616
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20417 Issued in CA
Practice address
540 W Baseline Rd Ste 3
Claremont, CA 91711-1612
Phone
(909) 625-7175
Fax
(909) 625-7268
NPI assigned
Apr 15, 2008
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20417 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20417 CA Primary
Registered Nurse 163W00000X 550923 CA

Addresses

Primary practice location

540 W Baseline Rd Ste 3
Claremont, CA 91711-1612

Mailing address

2935 Parkside Ave
Ontario, CA 91761-6956
Phone (909) 472-6086

Other practice location 1

12555 Central Ave Ste C
Chino, CA 91710-3569
Phone (909) 902-1082

Other practice location 2

8710 Monroe Ct Ste 150
Rancho Cucamonga, CA 91730-4885
Phone (909) 941-4870

Other names 1

  • Miss Jennifer Mbanugo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130905000243 CA Practitioner - Nurse Practitioner 5092958322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

540 W Baseline Rd
Suite 3
Claremont, CA 91711-1612
Phone (909) 625-7175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Aug 11, 2018 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Inland Psychiatric Medical Group Inc Psychiatric/Mental Health CurrentSince Aug 11, 2018 Accepting new patients
Inland Psychiatric Medical Group, Inc. Nurse Practitioner PastSince Apr 6, 2025 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
East Valley Community Health Center, Inc. PastSince Aug 1, 2013 Accepting new patients
East Valley Community Health Center PastSince Aug 1, 2013 Accepting new patients
Dignity Health Past Accepting new patients
NP Wellness Healthcare Services Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Inland Psychiatric Medical Group Inc Psychiatric/Mental Health PastSince Jul 31, 2023 Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

12555 Central Ave
Ste C
Chino, CA 91710
Phone (909) 613-0100

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

540 W Baseline Rd
Ste 3
Claremont, CA 91711
Phone (909) 542-0633

16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700

16279 Walnut St
Ste A
Hesperia, CA 92345

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

732 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 505-0693

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jennifer.onyekonwurnp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1063686616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 PARKSIDE AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616956",
            "telephone_number": "909-472-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD STE 3",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-625-7175",
            "fax_number": "909-625-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 Central Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917103569",
            "country_code": "US",
            "telephone_number": "909-902-1082",
            "fax_number": "909-628-3398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8710 Monroe Ct Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304885",
            "country_code": "US",
            "telephone_number": "909-941-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYEKONWU-MCGILL",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20417",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "20417",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "550923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MBANUGO",
            "prefix": "MISS",
            "credential": "PMHNP-BC, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.