Raphael Akobundu, FNP
Individual provider Active NPI Family Nurse Practitioner · Escondido, CA
NPI 1659860195 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1659860195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95007925 (CA)
- Practice address
- 347 W Mission Ave
Escondido, CA 92025-1729 - Phone
- (888) 743-7526
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007925 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Monarch Hospice LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007925 | CA | Yes |
Addresses
Primary practice location
347 W Mission Ave
Escondido, CA 92025-1729
Mailing address
456 Cerro St
Encinitas, CA 92024-4702
Other providers in Escondido, CA
- Aida Tesfaye-Kedjela Inc
- Brittany Aina
- Vadim Akbashev
- Jamie Michelle Kezis Akena
- Farahnaz Akharan
- Sandy Pauline Akrawe
- Michelle Majed Akroush
- Zaid Al-Dahhan
- Maitham Alaayedi
- Carol E Alaniz
All providers in Escondido, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.