Individual provider Active NPI

Irene Afoh

  • Registered Nurse
  • Rancho Cucamonga, CA
National Provider Identifier
1376410308
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95202297 Issued in CA
Practice address
10161 Magnolia CT
Rancho Cucamonga, CA 91730-1616
Phone
(909) 758-3392
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95202297 CA Primary

Addresses

Primary practice location

10161 Magnolia CT
Rancho Cucamonga, CA 91730-1616

Mailing address

10161 Magnolia CT
Rancho Cucamonga, CA 91730-1616
Phone (909) 758-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95202297CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1376410308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 MAGNOLIA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301616",
            "telephone_number": "909-758-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 MAGNOLIA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301616",
            "telephone_number": "909-758-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOH",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95202297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.