Individual provider Active NPI

Christiana Nebechi Igbo

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1669101580
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020113 Issued in CA
Practice address
7488 Calzada de la Fuente, Otay Mesa Detention Center
San Diego, CA 92231
Phone
(619) 671-8724
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 95020113 CA Primary

Addresses

Primary practice location

7488 Calzada de la Fuente, Otay Mesa Detention Center
San Diego, CA 92231

Mailing address

1751 Santa Christina Ave
Chula Vista, CA 91913-3291
Phone (301) 573-6729

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
95020113CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1669101580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SANTA CHRISTINA AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133291",
            "telephone_number": "301-573-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7488 CALZADA DE LA FUENTE, OTAY MESA DETENTION CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92231",
            "telephone_number": "619-671-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBO",
        "first_name": "CHRISTIANA",
        "middle_name": "NEBECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.