Active NPI
Nnenna Ngozi Ikegbu, M.D.
- Family Medicine Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A100808
- 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
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 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A100808 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integritymd Inc | Current | 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 | Past | Accepting new patients |
Locations
1001 Nut Tree Rd
Ste 110
Vacaville, CA 95687
Phone (415) 730-4716
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Primary Care Clinic/Center
- Vacaville, CA
- NPI 1578218335
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
Family Medicine
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.