Charles Ugwumba, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 198305 Issued in CA

Practice address

31139 Peregrine Way
Winchester, CA 92596-9806

Phone

(714) 448-2324

NPI assigned

Aug 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1801087457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16695 ARROYO PARK DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925512131",
            "telephone_number": "951-295-1883",
            "fax_number": "951-243-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31139 PEREGRINE WAY",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969806",
            "telephone_number": "714-448-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWUMBA",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 198305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Winchester, CA
• Providers in Winchester, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.