Individual provider Active NPI

Donna Nissley Nchekwube, MD

  • General Practice Physician
  • Morgan Hill, CA
National Provider Identifier
1457324931
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G39162 Issued in CA
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

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G391620OtherCACA LICENSE

Other names 1

  • Donna Gail Nissley Former name

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

LicenseStateTypeSpecialty
G39162CAMDGeneral Practice Physician
4301037780MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E and D Nchekwube, MD, Inc General Practice CurrentSince Apr 21, 2024 Accepting new patients

Locations

1825 Civic Center Dr
Ste 17
Santa Clara, CA 95050
Phone (408) 286-0103

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.