Individual provider Active NPI

Chidinma Onuigbo, NP-C

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1104337419
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019277 Issued in CA
Practice address
3110 E Guasti Rd Ste 315
Ontario, CA 91761-1258
Phone
(909) 981-1136
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135462 TX
Family Nurse Practitioner 363LF0000X 95019277 CA Primary

Addresses

Primary practice location

3110 E Guasti Rd Ste 315
Ontario, CA 91761-1258

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819000827 TX Practitioner - Nurse Practitioner 7012333222 Reassigns benefits to 1 organization
I20220125002339 CA Practitioner - Nurse Practitioner 7012333222 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Nov 21, 2022 Accepting new patients
Memorial Hermann Medical Group CurrentSince Sep 1, 2020 Accepting new patients
Colton Healthcare Services Family Current Accepting new patients
Seasons Hospice & Palliative Care of California- San Bernardino, LLC PastSince Jan 17, 2022 Accepting new patients
Seasons Hospice & Palliative Care of California- San Diego, LLC PastSince Jan 17, 2022 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

4500 Washington Ave
Ste 300
Houston, TX 77007
Phone (713) 861-6490

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

1227 Museum Square Dr
Ste A
Sugar Land, TX 77479
Phone (281) 265-8125

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • Direct secure messaging: chidinma.onuigbo.1@19957.direct.athenahealth.com
  • Direct secure messaging: chidinma.onuigbo.2@24997.direct.athenahealth.com
  • Direct secure messaging: chidinma.onuigbo.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: chidinma.onuigbo.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: conuigbo764007@direct.memorialcare.org

Organizations & group practices 5

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1104337419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E GUASTI RD STE 315",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611258",
            "telephone_number": "909-981-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUIGBO",
        "first_name": "CHIDINMA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.