Ifeacho Medical Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

IFEACHO MEDICAL CORP

Practice address

388 Market St Ste 1300
San Francisco, CA 94111-5316

Phone

(951) 660-4644

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Valentine Ifeacho, M.D.NPI 1619297629

Title

Ceo

Phone

(951) 660-4464

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valentine Tochukwu Ifeacho, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Oakland, CA
  • NPI 1619297629
  NPD Authorized official

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1154942308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 13TH ST # 1263",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123921",
            "telephone_number": "951-660-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 MARKET ST STE 1300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115316",
            "telephone_number": "951-660-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFEACHO MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "IFEACHO",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-660-4464",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Idowu
• Abas Idris
• Nada Idris
• Ies Medical Group, Inc.
• Gioia Iezza, MD
• Rafa Ifthikhar
• Zunaira Iftikhar
• Shaff K. Iginla
• Melissa Iglesias Gonzalez
• Samantha Rose Iglesias

• Medical Specialty Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.