Chidozie C Mbagwu, M.D., PH.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

A51399 Issued in CA

Practice address

10600 Magnolia Ave
Ste I
Riverside, CA 92505-1819

Phone

(951) 324-8100

Fax

(951) 324-8103

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Pediatric Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• La Sierra Medical Corporation

  • Specialist
  • Riverside, CA
  • NPI 1669513222
  Medicare reassignment Authorized official
• La Sierra Medical Corp

  • Exclusive Provider Organization
  • Riverside, CA
  • NPI 1164527271
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1285769364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MAGNOLIA AVE",
            "address_2": "SUITE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051819",
            "telephone_number": "951-324-8100",
            "fax_number": "951-324-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MAGNOLIA AVE",
            "address_2": "STE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051819",
            "telephone_number": "951-324-8100",
            "fax_number": "951-324-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAGWU",
        "first_name": "CHIDOZIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A513990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Jeanette Mays, LVN
• Martha Mays, DNP, FNP-BC
• Tanya Mayton
• Anne Z Mazer, MD
• Lawrence D. Mazur, DO
• Tom E. Mbeke-Ekanem
• MBL Group
• Annet Mburu, RN
• Whitney MC Camon, MED
• Patrick T MC Gill, PA

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.