Ogechukwu Achufusi
Individual provider Active NPI Registered Nurse · Fontana, CA
NPI 1124576483 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1124576483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 624332 (CA)
- Practice address
- 6177 Eaglemont Dr
Fontana, CA 92336-5817 - Phone
- (310) 404-5961
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 624332 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 624332 | CA | Yes |
Addresses
Primary practice location
6177 Eaglemont Dr
Fontana, CA 92336-5817
Mailing address
6177 Eaglemont Dr
Fontana, CA 92336-5817
Phone (310) 404-5961
Other providers in Fontana, CA
- Mohamad Abul-Fielat
- Celisse Acevedo
- Danielle Acevedo
- John Steven Acevedo
- Mary Helen Acevedo
- Eduardo R. Acosta
- Olga Acosta
- Michael J. Adair
- Berneva J. Adams
- Caren Anntoinette Adams
All providers in Fontana, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.