Active NPI
Ifeanyi C. Igwegbe, M.D.
- Gastroenterology Physician
- Yuba City, CA
National Provider Identifier
1073620217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C52936
- Practice address
- 550 B St
Yuba City, CA 95991-5067 - Phone
- (530) 749-3650
- Fax
- (530) 749-3651
- NPI assigned
- Aug 24, 2006
- Last updated
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C52936 | CA | Primary |
Addresses
Primary practice location
550 B St
Yuba City, CA 95991-5067
Mailing address
550 B St
Yuba City, CA 95991-5067
Phone (530) 749-3650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C529360 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52936 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Endoscopy Center | Past | Accepting new patients | |
| Glenn G. Marinelli MD PA | Past | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1073620217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 B ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959915067",
"telephone_number": "530-749-3650",
"fax_number": "530-749-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 B ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959915067",
"telephone_number": "530-749-3650",
"fax_number": "530-749-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGWEGBE",
"first_name": "IFEANYI",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C52936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C529360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
- Alia Akhtar Hussain, MD
- Britany Hutchinson
- Hutrx Pharmacy Inc (Safesave Pharmacy)
- Hutrx Pharmacy Inc (Safesave Pharmacy)
- Julia N Hyatt
- Independent Home LLC
- Integrated Physical Therapy LLC
- Integrated Physical Therapy Services
- Interim Assisted Care of Northern California (Interim HealthCare Personal Care & Support Services)
- Susie Z Irons, ASW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.