Individual provider Active NPI

Cassandra Jones Ndiforchu, M.D.

  • Obstetrics & Gynecology Physician
  • Carson, CA
National Provider Identifier
1124168729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A25877 Issued in CA
Practice address
454 E Carson Plaza Dr
Suite 110
Carson, CA 90746-3209
Phone
(310) 516-0742
Fax
(310) 516-0398
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A25877 CA Primary

Addresses

Primary practice location

454 E Carson Plaza Dr
Suite 110
Carson, CA 90746-3209

Mailing address

454 E Carson Plaza Dr
Suite 110
Carson, CA 90746-3209
Phone (310) 516-0742

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25877CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124168729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0742",
            "fax_number": "310-516-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0742",
            "fax_number": "310-516-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIFORCHU",
        "first_name": "CASSANDRA",
        "middle_name": "JONES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A25877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.