Nkem Obiaga

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

675598 Issued in CA

Practice address

10074 Mud Hen Way
Elk Grove, CA 95757-6422

Phone

(916) 340-4414

NPI assigned

Dec 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nkem Obiaga Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1073882981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10074 MUD HEN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576422",
            "telephone_number": "916-340-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10074 MUD HEN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576422",
            "telephone_number": "916-340-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIAGA",
        "first_name": "NKEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "675598",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH63675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NKEM",
            "last_name": "OBIAGA",
            "credential": "PHARM.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Marie O'Laughlin, RN, PHN, FNP
• Amanda Joy Oakes, DPT
• Oaks Family Care Inc.
• Emmanuel A Obatolu
• Chinenye Ngozika Obiaga, RN
• Tara Courtney Obidigbo
• Denise Alejandra Ochoa, PA-C
• Jason Ochoa, FNP, PA-C
• Odermatt Enterprises Inc
• Unwam I Oduok

• Medical-Surgical Registered Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.