Active NPI
Donna Nissley Nchekwube, MD
- General Practice Physician
- Morgan Hill, CA
National Provider Identifier
1457324931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G39162
- Practice address
- 5390 Little Uvas Rd
Morgan Hill, CA 95037-9153 - Phone
- (408) 779-5842
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301037780 | MI | |
| General Practice Physician | 208D00000X | G39162 | CA | Primary |
Addresses
Primary practice location
5390 Little Uvas Rd
Morgan Hill, CA 95037-9153
Mailing address
PO Box 636
Morgan Hill, CA 95038-0636
Phone (408) 779-5842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G391620 | Other | CA | CA LICENSE |
Other names 1
- Donna Gail Nissley
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39162 | CA | MD | General Practice Physician |
| 4301037780 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E and D Nchekwube, MD, Inc | General Practice | Current | Accepting new patients |
Locations
1825 Civic Center Dr
Ste 17
Santa Clara, CA 95050
Phone (408) 286-0103
Interoperability endpoints
- https://api.platform.athenahealth.com/1775/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Morgan Hill, CA
- NPI 1194917369
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1457324931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950380636",
"telephone_number": "408-779-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5390 LITTLE UVAS RD",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950379153",
"telephone_number": "408-779-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NCHEKWUBE",
"first_name": "DONNA",
"middle_name": "NISSLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301037780",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G39162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "00G391620",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "NISSLEY",
"middle_name": "GAIL",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.