NPIMap

Individual provider Active NPI

Ifeanyi Ezeani

  • Rehabilitation Practitioner
  • Roseville, CA
National Provider Identifier
1598447542
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
1085 Sandringham Way
Roseville, CA 95661-5321
Phone
(530) 888-5000
NPI assigned
Aug 1, 2023
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Rehabilitation Practitioner 225400000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1085 Sandringham Way
Roseville, CA 95661-5321

Mailing address

5410 White Lotus Way
Elk Grove, CA 95757-4354
Phone (916) 870-9676

Other practice location 1

4229 Toyan Drive, Diamond Springs, CA 95619
Diamond Springs, CA 95619
Phone (530) 888-5000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Valley LLC Current Accepting new patients
Compassion Pathway Behavioral Health LLC CurrentSince Aug 6, 2023 Accepting new patients
Compassion Pathway Behavioral Health LLC PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1598447542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 WHITE LOTUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574354",
            "telephone_number": "916-870-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 SANDRINGHAM WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615321",
            "telephone_number": "530-888-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4229 Toyan Drive, Diamond Springs, CA 95619",
            "address_purpose": "LOCATION",
            "city": "Diamond Springs",
            "state": "CA",
            "postal_code": "95619",
            "country_code": "US",
            "telephone_number": "530-888-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEANI",
        "first_name": "IFEANYI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.