Individual provider Active NPI

Valentine Tochukwu Ifeacho, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Oakland, CA
National Provider Identifier
1619297629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A121692 Issued in CA
Practice address
411 30TH St Ste 314
Oakland, CA 94609-3312
Phone
(510) 465-6800
NPI assigned
Jun 2, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A121692 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A121692 CA Primary
Pulmonary Disease Physician 207RP1001X A121692 CA
Surgery Physician 208600000X BP10037826 TX

Addresses

Primary practice location

411 30TH St Ste 314
Oakland, CA 94609-3312

Mailing address

411 30TH St Ste 314
Oakland, CA 94609-3312
Phone (510) 465-6800

Other practice location 1

2020 Zonal Ave
IRD Building, 6th Floor
Los Angeles, CA 90033
Phone (323) 226-7593

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507002664 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1052630324 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
University of Southern California Keck School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-1230

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121692CAMDPulmonary Disease Physician
BP10037826TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Ifeacho Medical Corp Current Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Apr 20, 2020 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Apr 20, 2020 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
County of Santa Clara Internal Medicine CurrentSince Mar 25, 2021 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 30, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
24 On Physicians of California, PC CurrentSince Apr 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Mar 25, 2021 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 30, 2018 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
County of Santa Clara Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: vifeacho1289989@nychhc.direct-ci.com
  • Direct secure messaging: vifeacho169902@santaclaravalley.direct-ci.net

Organizations & group practices 20

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 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619297629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-465-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-465-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Zonal Ave",
            "address_2": "IRD Building, 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "323-226-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IFEACHO",
        "first_name": "VALENTINE",
        "middle_name": "TOCHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A121692",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A121692",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A121692",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10037826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.