Individual provider Active NPI

Andrew Banyiginya Ngira, FNP

  • Family Nurse Practitioner
  • Coalinga, CA
National Provider Identifier
1669015616
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013138 Issued in CA
Practice address
300 Juniper Ridge Blvd Apt 146
Coalinga, CA 93210-9275
Phone
(559) 821-8037
Fax
(559) 821-8037
NPI assigned
Oct 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013138 CA Primary

Addresses

Primary practice location

300 Juniper Ridge Blvd Apt 146
Coalinga, CA 93210-9275

Mailing address

300 Juniper Ridge Blvd Apt 146
Coalinga, CA 93210-9275
Phone (559) 821-8037

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

State licenses

LicenseStateTypeSpecialty
95013138CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1669015616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JUNIPER RIDGE BLVD APT 146",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109275",
            "telephone_number": "559-821-8037",
            "fax_number": "559-821-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JUNIPER RIDGE BLVD APT 146",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109275",
            "telephone_number": "559-821-8037",
            "fax_number": "559-821-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGIRA",
        "first_name": "ANDREW",
        "middle_name": "BANYIGINYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalinga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.