Active NPI
Nneka Geraldine Umeh, FNP/PHMNP
- Family Nurse Practitioner
- San Pablo, CA
National Provider Identifier
1730550930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003056
- Practice address
- 631 Rock Rose Way
San Pablo, CA 94806-1856 - Phone
- (510) 691-5040
- NPI assigned
- Oct 13, 2015
- 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 | 95003056 | CA | Primary |
Addresses
Primary practice location
631 Rock Rose Way
San Pablo, CA 94806-1856
Mailing address
701 S Abel St
Milpitas, CA 95035-5243
Phone (408) 957-5383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003056 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1730550930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S ABEL ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950355243",
"telephone_number": "408-957-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 ROCK ROSE WAY",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948061856",
"telephone_number": "510-691-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMEH",
"first_name": "NNEKA",
"middle_name": "GERALDINE",
"credential": "FNP/PHMNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.