Individual provider Active NPI

Ifunanya Olive Ifeacho, FNP

  • Family Nurse Practitioner
  • La Habra, CA
National Provider Identifier
1699285064
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007648 Issued in CA
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

Updated by the provider on Nov 20, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122001938 CA Practitioner - Nurse Practitioner 0042557530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Nov 30, 2018 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Nov 30, 2018 Accepting new patients
Friends of Family Health Center PastSince Nov 24, 2025 Accepting new patients
Friends of Children Health Center PastSince Nov 24, 2025 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

  • Direct secure messaging: ifunayao.ifeachofnp.p1@direct.jwch.nextgenshare.com
  • Direct secure messaging: ifunanya.ifeacho@sjch.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.