Rita O Enunwa, RN, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP14955 Issued in CA

Practice address

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965

Phone

(559) 276-7558

Fax

(559) 276-7568

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCGBCD

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.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Todos Para la Salud

  • Clinic/Center
  • Fresno, CA
  • NPI 1184164873
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Todos Para la Salud

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1073321543
  NPD
• Todos Para la Salud

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1740625235
  NPD
• Fresno Shields Medical Center Inc

  • General Practice Physician
  • Fresno, CA
  • NPI 1669547345
  NPD (past)
• Lags Spine and Sportscare Medical Centers Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Maria, CA
  • NPI 1447244256
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hayward, CA
  • NPI 1962983965
  NPD (past)
• Regenerative Spine, Pain, and Neuropathy Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1497323570
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1497838924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223965",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N SONORA AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223965",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 E Illinois Ave",
            "address_2": "406",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012125",
            "country_code": "US",
            "telephone_number": "559-495-3120",
            "fax_number": "559-441-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENUNWA",
        "first_name": "RITA",
        "middle_name": "O",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP14955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN566408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• ENT Facial Surgery Center LLC
• Entera Therapy
• Enterprise Superfine LLC
• Chukwuma Christopher Enunwa I, REGISTERED COUNSELOR
• Felix Shielim Enunwa, ED.D, MBA, CADC-II
• Environmental Alternatives (EA Family Services)
• Dutch Epperson
• Carissa L Epstein, PTA
• Bernadette Era, FNP
• Erbe Palafox, DDS, Inc.

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.