Individual provider Active NPI

George Njoku Chidi, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1396168944
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42100 Issued in CA
Practice address
487 Magnolia Ave Ste 102
Corona, CA 92879-3306
Phone
(951) 272-5900
Fax
(951) 272-5950
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME58074 FL
Internal Medicine Physician 207R00000X G42100 CA Primary

Addresses

Primary practice location

487 Magnolia Ave Ste 102
Corona, CA 92879-3306

Mailing address

487 Magnolia Ave Ste 102
Corona, CA 92879-3306
Phone (239) 860-0055

Other names 1

  • Mr. George Njoku Chidi-Njoku Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209000007 CA Practitioner - Internal Medicine 4284956970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

487 Magnolia Ave
Suite 102
Corona, CA 92879-3306
Phone (951) 272-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G42100CAMDInternal Medicine Physician
ME58074FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George N. Chidi, MD, PA CurrentSince Oct 1, 2015 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

487 Magnolia Ave
Ste 102
Corona, CA 92879
Phone (951) 272-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25686/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/12621/brand/1/csg/1/fhir/r4
  • Direct secure messaging: george.chidi@mcauc-ca.direct.office.nextgen.com

Organizations & group practices 5

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1396168944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 MAGNOLIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793306",
            "telephone_number": "239-860-0055",
            "fax_number": "951-272-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 MAGNOLIA AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793306",
            "telephone_number": "951-272-5900",
            "fax_number": "951-272-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDI",
        "first_name": "GEORGE",
        "middle_name": "NJOKU",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME58074",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "CHIDI-NJOKU",
            "middle_name": "NJOKU",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.