Individual provider Active NPI

Kelechi Irondi, NPC

  • Obstetrics & Gynecology Nurse Practitioner
  • Cypress, CA
National Provider Identifier
1376988725
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
21658 Issued in CA
Practice address
4338 Manchester PL
Cypress, CA 90630-2737
Phone
(714) 952-4616
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 21658 CA Primary

Addresses

Primary practice location

4338 Manchester PL
Cypress, CA 90630-2737

Mailing address

4338 Manchester PL
Cypress, CA 90630-2737
Phone (714) 952-4616

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
I20171214001046 CA Order and Referring Only - Nurse Practitioner 1759649064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21658CAMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: kirondirn3924@direct.memorialcare.org

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1376988725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 MANCHESTER PL",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302737",
            "telephone_number": "714-952-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 MANCHESTER PL",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302737",
            "telephone_number": "714-952-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRONDI",
        "first_name": "KELECHI",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "21658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.