Esiobu Medical Group PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ESIOBU MEDICAL GROUP PC

Practice address

255 Terracina Blvd Ste 104B
Redlands, CA 92373-4870

Phone

(323) 788-2794

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Prince Esiobu, MDNPI 1023329638

Title

Owner

Phone

(909) 580-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Prince C Esiobu, MD

  • Vascular Surgery Physician
  • Redlands, CA
  • NPI 1023329638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1265130181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27670",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 104B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "323-788-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESIOBU MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ESIOBU",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-580-8272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Eriksen, BA
• Sotero J Escarza, M.D.
• Monika Cosette Barberena Escobar, OTR/L
• Nicolas Robert Escobar, PT, DPT
• Kellie Danielle Eshom
• Prince C Esiobu, MD
• Diego Esparza-Duran, PHD
• Beatriz Salcedo Esparza
• Veronica Esqueda, SW
• Essence Family Therapy Inc

• Vascular Surgery Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.