Individual provider Active NPI

Linda Kosisochukwu Chude, MD

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1417650425
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A207475 Issued in CA
Practice address
1851 N Riverside Ave
Rialto, CA 92376-8069
Phone
(901) 874-2371
NPI assigned
Mar 27, 2023
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T-4894 MS
Family Medicine Physician 207Q00000X A207475 CA Primary

Addresses

Primary practice location

1851 N Riverside Ave
Rialto, CA 92376-8069

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice location 1

2466 Flowood Dr Ste E
Flowood, MS 39232-9019
Phone (601) 815-5700

Other names 1

  • Linda Kosisochukwu Epundu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20231011001676 MS Order and Referring Only - Family PracticePractitioner - Family Practice 1658726641

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: linda.chude.1@20428.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1417650425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768069",
            "telephone_number": "901-874-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2466 Flowood Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329019",
            "country_code": "US",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDE",
        "first_name": "LINDA",
        "middle_name": "KOSISOCHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4894",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A207475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "EPUNDU",
            "middle_name": "KOSISOCHUKWU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.