Ikechukwu Charles Nwabuobi, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95017581 Issued in CA

Practice address

72047 Dinah Shore Dr Ste C4
Rancho Mirage, CA 92270-1783

Phone

(760) 770-7600

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Legacy Marketing Worldwide Inc.

  dba Perpetual Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1336505197
  Medicare reassignment NPD
• Minghsun Liu, M.D., PC

  dba Woundtech of California

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  Medicare reassignment NPD
• Wellness Star LLC

  • Nurse Practitioner
  • Hemet, CA
  • NPI 1043131162
  NPD (past) Authorized official
• Rupinder Mann M D Inc

  • Specialist
  • Rancho Mirage, CA
  • NPI 1083043988
  NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1083283634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E THORNTON AVE APT W202",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437657",
            "telephone_number": "917-605-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72047 DINAH SHORE DR STE C4",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701783",
            "telephone_number": "760-770-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWABUOBI",
        "first_name": "IKECHUKWU",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95017581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shlomo Noskow
• NP Gi Consultants a Nursing Corporation
• Aden Nulez
• Nick Nurani, M.D.
• NV Aesthetics Inc
• Robert Edwin O' Sullivan, MD
• James V O'Connell, MD
• Stephen Joseph O'Connell, M.D.
• Susanna Lynn O'Sullivan, RN, MSN, ANP-BC
• Dulce Maria Oandasan, M. D.

• Adult Health Nurse Practitioner in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.