Active NPI
Chibuogwu E Ugbana, RN,MSN
- Psychiatric/Mental Health Registered Nurse
- Marina, CA
National Provider Identifier
1194360123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95023398
- Practice address
- 3116 Arnold CT
Marina, CA 93933-4707 - Phone
- (323) 503-8569
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95023398 | CA | Primary |
Addresses
Primary practice location
3116 Arnold CT
Marina, CA 93933-4707
Mailing address
3116 Arnold CT
Marina, CA 93933-4707
Phone (323) 503-8569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXXXXXXXXXXXXD | Other | NOT APPLICABLE |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | XXXXXXXXXXXXXXXXXXXXX | Other | |
| Other URL | XXXXXXXXXXXXXXXXXXXXX | Other | |
| Other URL | XXXXXXXXXXXXXXXXXXXXX | Other | |
| Other URL | N/A | Other | |
| Other URL | XXXXXXXXXXXXXXX | Other |
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023398 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1194360123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 ARNOLD CT",
"city": "MARINA",
"state": "CA",
"postal_code": "939334707",
"telephone_number": "323-503-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 ARNOLD CT",
"city": "MARINA",
"state": "CA",
"postal_code": "939334707",
"telephone_number": "323-503-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGBANA",
"first_name": "CHIBUOGWU",
"middle_name": "E",
"credential": "RN,MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95023398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT APPLICABLE",
"identifier": "XXXXXXXXXXXXXXXXD",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "XXXXXXXXXXXXXXXXXXXXX",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "XXXXXXXXXXXXXXXXXXX",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3116 Arnold Ct",
"city": "Marina",
"state": "CA",
"country_code": "US",
"postal_code": "939334707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "XXXXXXXXXXXXXXXXXXXXX",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "XXXXXXXXXXXXXXXXXXX",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3116 Arnold Ct",
"city": "Marina",
"state": "CA",
"country_code": "US",
"postal_code": "939334707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "XXXXXXXXXXXXXXXXXXXXX",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "XXXXXXXXXXXXXXXXXXX",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3116 Arnold Ct",
"city": "Marina",
"state": "CA",
"country_code": "US",
"postal_code": "939334707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3116 Arnold Ct",
"city": "Marina",
"state": "CA",
"country_code": "US",
"postal_code": "939334707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "XXXXXXXXXXXXXXX",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3116 Arnold Ct",
"city": "Marina",
"state": "CA",
"country_code": "US",
"postal_code": "939334707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.