Individual provider Active NPI

Efema Pamela Eguaibor -Nwajei, DDS

  • General Practice Dentistry
  • Clovis, CA
National Provider Identifier
1093802878
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60838 Issued in CA
Practice address
1010 Shaw Ave
2ND FLR
Clovis, CA 93612-3950
Phone
(559) 323-1776
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DIO22508 NJ
General Practice Dentistry 1223G0001X 60838 CA Primary

Addresses

Primary practice location

1010 Shaw Ave
2ND FLR
Clovis, CA 93612-3950

Mailing address

1010 Shaw Ave
2ND FLR
Clovis, CA 93612-3950
Phone (559) 323-1776

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60838CAMDGeneral Practice Dentistry
DIO22508NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Efema Pamela Nwajei DDS Dental Corporation PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1093802878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SHAW AVE",
            "address_2": "2ND FLR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123950",
            "telephone_number": "559-323-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SHAW AVE",
            "address_2": "2ND FLR",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123950",
            "telephone_number": "559-323-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUAIBOR -NWAJEI",
        "first_name": "EFEMA",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DIO22508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.