Vitalis Egwim

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95014012 Issued in CA

Practice address

1699 E Washington St Apt 2246
Colton, CA 92324-6460

Phone

(443) 742-8019

NPI assigned

Mar 14, 2020

Last updated

Mar 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Delano Hospital, Delano, CA, CCN 050608

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
  • NPI 1891207684
  Medicare reassignment Care Compare group NPD
• Vital Health & Wellness Inc

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1205705480

  Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Community Health Centers of America

  • Federally Qualified Health Center (FQHC)
  • Gustine, CA
  • NPI 1245105733
  NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD
• Bakersfield Memorial Hospital

  dba Bakersfield Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Delano

  dba Delano Regional Medical Center

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1144237272
  Care Compare affiliation

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1265068878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WASHINGTON ST APT 2246",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246460",
            "telephone_number": "443-742-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 E WASHINGTON ST APT 2246",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246460",
            "telephone_number": "443-742-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGWIM",
        "first_name": "VITALIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhea Edpao
• Trace Edwards
• Yoggie Efendy, NP
• Henry Egbuziem, LMFT
• Mesrop Michael Egiazaryan, DO, MPH
• Christiana Ngozi Ehieze Okeke
• Ifunanya Nwando Ejillibe, RN
• Evelyn Ugonna Ejinaka, RN
• Mohamed El Sayed
• Timothy A Elebeck

• Nurse Practitioner in Colton, CA
• Providers in Colton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.