Active NPI
Valentine Tochukwu Ifeacho, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A121692
- Practice address
- 411 30TH St Ste 314
Oakland, CA 94609-3312 - Phone
- (510) 465-6800
- NPI assigned
- Jun 2, 2010
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Southern California Keck School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A121692 | CA | MD | Pulmonary Disease Physician |
| BP10037826 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Ifeacho Medical Corp | Current | Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | 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 | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Internal Medicine | Current | 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
- vifeacho1289989@nychhc.direct-ci.com
- 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.
-
dba Vituity
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Hospitalist Physician
- Porterville, CA
- NPI 1730570565
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Medical Specialty Clinic/Center
- San Francisco, CA
- NPI 1154942308
-
- Critical Care Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1215577291
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Internal Medicine
-
dba Dignity Health Medical Group - Dominican, a service of Dignity Health
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.