Gloria Martey-Ikhimiukor

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

846940 Issued in CA

Practice address

820 E Gilbert St
San Bernardino, CA 92415-0928

Phone

(909) 387-7200

Fax

(909) 387-7717

NPI assigned

Jun 4, 2014

Last updated

Dec 29, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1508279993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 ROSEVILLE DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GILBERT ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150928",
            "telephone_number": "909-387-7200",
            "fax_number": "909-387-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEY-IKHIMIUKOR",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "846940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesha Marshall
• Christina Rene Marshall, LVN
• Hoyt Marshall
• Kimberly Winter Diamonds Marshall
• Shuvette Lachiel Marshall
• Audrey Maxine Martin, D.D.S.
• Camille Angelique Martin
• Cassandra Martin
• Chyra Martin, ACSW
• Hannah Paulina Martin

• Psychiatric/Mental Health Registered Nurse in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.