Individual provider Active NPI

Chibunna Emmanuel Nwaobia

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1407533144
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
824529 Issued in CA
Practice address
26386 Primrose Way
Moreno Valley, CA 92555-2239
Phone
(951) 286-8537
NPI assigned
Jul 4, 2023
Last updated
Jul 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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 824529 CA Primary

Addresses

Primary practice location

26386 Primrose Way
Moreno Valley, CA 92555-2239

Mailing address

26386 Primrose Way
Moreno Valley, CA 92555-2239
Phone (951) 286-8537

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
824529CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nursesbond Foundation Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1407533144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26386 PRIMROSE WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552239",
            "telephone_number": "951-286-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26386 PRIMROSE WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552239",
            "telephone_number": "951-286-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOBIA",
        "first_name": "CHIBUNNA",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "824529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.