Individual provider Active NPI

Nnenna Ngozi Ikegbu, M.D.

  • Family Medicine Physician
  • Vacaville, CA
National Provider Identifier
1801077680
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A100808 Issued in CA
Practice address
1001 Nut Tree Rd Ste 110
Vacaville, CA 95687-4166
Phone
(347) 834-7915
Fax
(707) 305-5259
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A100808 CA Primary

Addresses

Primary practice location

1001 Nut Tree Rd Ste 110
Vacaville, CA 95687-4166

Mailing address

1001 Nut Tree Rd Ste 110
Vacaville, CA 95687-4166
Phone (347) 834-7915

Other names 1

  • Dr. Nnenna Ngozi Ikegbu Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001737 CA Practitioner - Family Practice 7315328291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

1201 E Bidwell St
Folsom, CA 95630-3450
Phone (916) 920-6337

4112 E Commerce Way
Sacramento, CA 95834-9680
Phone (916) 447-6337

4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1496
Phone (916) 488-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100808CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integritymd Inc CurrentSince Mar 1, 2022 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
County of Santa Clara Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince Jul 20, 2025 Accepting new patients

Locations

1001 Nut Tree Rd
Ste 110
Vacaville, CA 95687
Phone (415) 730-4716

Interoperability endpoints

  • Direct secure messaging: integritymdinc.nnennaikegbu@151597.advancedmd-direct.com

Organizations & group practices 5

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1801077680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD STE 110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "347-834-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD STE 110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "347-834-7915",
            "fax_number": "707-305-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEGBU",
        "first_name": "NNENNA",
        "middle_name": "NGOZI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNENNA",
            "last_name": "IKEGBU",
            "middle_name": "NGOZI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.