Philomina Ogochukwu Walker-Nwarueze, MBA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45953 Issued in CA

Practice address

1430 E Cooley Dr
Suite 200
Colton, CA 92324-3934

Phone

(909) 433-0574

Fax

(909) 433-0519

NPI assigned

Jun 27, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Philomina O Walker-Nwarueze

  • Durable Medical Equipment & Medical Supplies
  • Colton, CA
  • NPI 1093803769
  NPD (past) Authorized official

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1336301514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E COOLEY DR",
            "address_2": "SUITE 200",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243934",
            "telephone_number": "909-433-0574",
            "fax_number": "909-433-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E COOLEY DR",
            "address_2": "SUITE 200",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243934",
            "telephone_number": "909-433-0574",
            "fax_number": "909-433-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-NWARUEZE",
        "first_name": "PHILOMINA",
        "middle_name": "OGOCHUKWU",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "45953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Wacker, MD
• Baljinder Kaur Wahla
• Rhiannon Waite
• Wal-Mart Stores, Inc.
• Thomas David Walbolt, D.O.
• Dashon Walker
• Rita Leigh Walker
• Wanda Walker
• Todd Wall, CADC II
• Andrew Anthony Wallace Sr.

• Durable Medical Equipment & Medical Supplies in Colton, CA
• Providers in Colton, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.