Active NPI
Tonna U Nwaneri
- Military Outpatient Operational (Transportable) Component Clinic/Center
- Oceanside, CA
National Provider Identifier
1700719549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Outpatient Operational (Transportable) Component Clinic/Center
- License
- 1619439178
- Practice address
- 4140 Oceanside Blvd Ste 159-1217
Oceanside, CA 92056-6005 - Phone
- (713) 281-6391
- NPI assigned
- Jun 3, 2026
- Last updated
- Jun 15, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Military Outpatient Operational (Transportable) Component Clinic/Center | 261QM1102X | 1619439178 | CA | Primary |
Addresses
Primary practice location
4140 Oceanside Blvd Ste 159-1217
Oceanside, CA 92056-6005
Mailing address
4140 Oceanside Blvd Ste 1591217
Oceanside, CA 92056-6005
Phone (713) 281-6391
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1619439178 | CA | MD | Military Outpatient Operational (Transportable) Component Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironside Home Health LLC | Current | Accepting new patients |
Locations
4140 Oceanside Blvd
Ste 1591217
Oceanside, CA 92056
Phone (713) 281-6391
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Oceanside, CA
- NPI 1104759968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1700719549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 OCEANSIDE BLVD STE 1591217",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566005",
"telephone_number": "713-281-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 OCEANSIDE BLVD STE 159-1217",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566005",
"telephone_number": "713-281-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANERI",
"first_name": "TONNA",
"middle_name": "U",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1102X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
"state": "CA",
"license": "1619439178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.