Individual provider Active NPI

Ifeanyi Christian Onye Sr., NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1346094422
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028507 Issued in CA
Practice address
3763 Arlington Ave Ste 104
Riverside, CA 92506-2610
Phone
(310) 339-4313
Fax
(310) 497-5754
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028507 CA Primary

Addresses

Primary practice location

3763 Arlington Ave Ste 104
Riverside, CA 92506-2610

Mailing address

3763 Arlington Ave Ste 104
Riverside, CA 92506-2610
Phone (310) 339-4313

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240904001135 CA Practitioner - Nurse Practitioner 5597172940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Pius Healthcare Corporation Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients

Locations

3763 Arlington Ave
Ste 104
Riverside, CA 92506
Phone (310) 339-4313

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1346094422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 ARLINGTON AVE STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062610",
            "telephone_number": "310-339-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 ARLINGTON AVE STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062610",
            "telephone_number": "310-339-4313",
            "fax_number": "310-497-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYE",
        "first_name": "IFEANYI",
        "middle_name": "CHRISTIAN",
        "name_suffix": "Sr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.