Nzubechi Odinakachukwu Chinaka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029769 Issued in CA

Practice address

3770 Helen Perry Rd
Ceres, CA 95307-7420

Phone

(209) 568-6203

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hysab Incorporated

  • Family Nurse Practitioner
  • Ceres, CA
  • NPI 1487452892
  Medicare reassignment NPD Authorized official
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  CA

  Medicare reassignment NPD
• Bay Area Mobile Medical Group, Inc.

  • General Practice Physician
  • San Rafael, CA
  • NPI 1265187272
  Medicare reassignment
• Pro Care Medical Group Inc

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1255766267
  Medicare reassignment
• Cal Sport Physical Medicine Inc

  • Internal Medicine Physician
  • Oakdale, CA
  • NPI 1952868218
  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1679305973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 FALLVIEW AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077411",
            "telephone_number": "209-568-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 HELEN PERRY RD",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077420",
            "telephone_number": "209-568-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINAKA",
        "first_name": "NZUBECHI",
        "middle_name": "ODINAKACHUKWU",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumbo Chea
• Richard Z Chen, DMD
• Regina Cheney
• Rohana Arokiaswamy Chettiar, PT
• Saquoira Chiles
• Ogiram Wendy Chukwuka, LCSW
• Rowena Chung
• Kandi Clark, LVN
• Roxanne Joy Clark, CAARR
• Stacy-Ann Clarke, BHS

• Family Nurse Practitioner in Ceres, CA
• Providers in Ceres, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.