NPIMap

Organization Active NPI

Chukwuemeka Ndulue

  • Pediatrics Physician
  • Marysville, CA
National Provider Identifier
1497947782
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A48878 Issued in CA
Legal business name
CHUKWUEMEKA NDULUE
Practice address
620 E St
Marysville, CA 95901-5503
Phone
(530) 741-2600
Fax
(530) 741-2659
NPI assigned
Aug 10, 2007
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mayra Delgado
Title
Manager
Phone
(530) 868-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A48878 CA Primary

Addresses

Primary practice location

620 E St
Marysville, CA 95901-5503

Mailing address

620 E St
Marysville, CA 95901-5503
Phone (530) 741-2600

National Provider Directory

National Provider Directory
Tax ID family
Chukwuemeka Ndulue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

620 E St
Marysville, CA 95901
Phone (530) 741-2600

825 9th St
Ste C
Marysville, CA 95901
Phone (530) 741-2600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1497947782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015503",
            "telephone_number": "530-741-2600",
            "fax_number": "530-741-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015503",
            "telephone_number": "530-741-2600",
            "fax_number": "530-741-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUEMEKA NDULUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-868-7292"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A48878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.