Ivy Njoloma

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

450230 Issued in CA

Practice address

14248 San Benito CT
Fontana, CA 92336-3781

Phone

(909) 427-0218

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

State licenses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1568641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14248 SAN BENITO CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14248 SAN BENITO CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363781",
            "telephone_number": "909-427-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOLOMA",
        "first_name": "IVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "450230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida A Nieuwenhuizen, PA
• Sukhmeet Nijjrah
• Bianca Patricia Nino-Lanathoua
• Yasuhiro Nishiura, M.D.
• David CHI-Ming Niu, M.D.
• Erin Nolte-Hough, DO
• Mahin Nosrati-Jahromi, DDS
• Nabil P. Noujaim, MD
• Gabrielle Uruena Novella
• Cedric Nowatzyk

• Critical Care Medicine Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Critical Care Medicine Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.