Eberechi Joan Ani, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95005799 Issued in CA

Practice address

16672 Almaden Dr
Fontana, CA 92336-5121

Phone

(310) 462-2185

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Eberechi Joan Iheanacho Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990

  Single Specialty

  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Hesperia, CA
  • NPI 1588091169

  Single Specialty

  NPD
• Inland Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Upland, CA
  • NPI 1821779505

  Psychiatric/Mental Health

  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1801332051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16672 ALMADEN DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365121",
            "telephone_number": "310-462-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16672 ALMADEN DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365121",
            "telephone_number": "310-462-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANI",
        "first_name": "EBERECHI",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005799",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95005799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBERECHI",
            "last_name": "IHEANACHO",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelina V Rodriguez
• Adrian James Angelo
• Angels Assisted Living
• Esther Anguiano
• Hector E. Anguiano, MD
• Ifeoma Elizabeth Anidi, MD
• Anthony Benigno, PSYD., Psychological Services, PC
• Isaac Jeremy Antonio, LVN
• Princewill Nkasirim Anucha
• Anwar Zaki, Nasser DDS Inc

• Psychiatric/Mental Health Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.

Verify at the official NPI Registry.