Active NPI
Christiana Umeh
- Registered Nurse
- San Leandro, CA
National Provider Identifier
1750798682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 557733
- Practice address
- 15105 Shining Star LN
San Leandro, CA 94579-1994 - Phone
- (510) 333-6310
- NPI assigned
- Jul 11, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 557733 | CA | Primary |
Addresses
Primary practice location
15105 Shining Star LN
San Leandro, CA 94579-1994
Mailing address
15105 Shining Star LN
San Leandro, CA 94579-1994
Phone (510) 333-6310
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409000065 | CA | Practitioner - Nurse Practitioner | 4789018490 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 557733 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1750798682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15105 SHINING STAR LN",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791994",
"telephone_number": "510-333-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15105 SHINING STAR LN",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791994",
"telephone_number": "510-333-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMEH",
"first_name": "CHRISTIANA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "557733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.