Active NPI
Ifunanya Olive Ifeacho, FNP
- Family Nurse Practitioner
- La Habra, CA
National Provider Identifier
1699285064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007648
- Practice address
- 501 S Idaho St
La Habra, CA 90631-6047 - Phone
- (562) 690-0400
- Fax
- (562) 801-0436
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007648 | CA | Primary |
Addresses
Primary practice location
501 S Idaho St
La Habra, CA 90631-6047
Mailing address
10528 Cole Rd
Whittier, CA 90604-1536
Phone (310) 999-3354
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| Friends of Children Health Center | Past | Accepting new patients |
Locations
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
5701 S Hoover St
Los Angeles, CA 90037
Phone (323) 541-1400
Interoperability endpoints
- ifunayao.ifeachofnp.p1@direct.jwch.nextgenshare.com
- ifunanya.ifeacho@sjch.eclinicaldirectplus.com
- ifunanya.ifeacho.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1043542111
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Clinic/Center
- La Habra, CA
- NPI 1356538490
-
- Federally Qualified Health Center (FQHC)
- Ontario, CA
- NPI 1003546342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1699285064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10528 COLE RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906041536",
"telephone_number": "310-999-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S IDAHO ST",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906316047",
"telephone_number": "562-690-0400",
"fax_number": "562-801-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFEACHO",
"first_name": "IFUNANYA",
"middle_name": "OLIVE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.