Individual provider Active NPI

Christopher A Chigbolu, R.N

  • Psychiatric/Mental Health Registered Nurse
  • Granada Hills, CA
National Provider Identifier
1841372463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
625185 Issued in CA
Practice address
10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367
Phone
(818) 832-2410
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 625185 CA Primary

Addresses

Primary practice location

10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367

Mailing address

5624 Valley Glen Way
Los Angeles, CA 90043-2122
Phone (323) 292-1210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328002315 CA Practitioner - Nurse Practitioner 8628463791 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
625185CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lindy Lay, D.O., P.C. CurrentSince Oct 31, 2023 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Telecare Corporation Current Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Eugene Rosenman MD Professional Corporation CurrentSince Jan 2, 2025 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

2401 E Katella Ave
Ste 625
Anaheim, CA 92806
Phone (626) 487-4220

151 Kalmus Dr
Ste K2
Costa Mesa, CA 92626
Phone (657) 300-1706

2020 Iowa Ave
Riverside, CA 92507
Phone (951) 235-4055

3321 N Buffalo Dr
Ste 200
Las Vegas, NV 89129
Phone (702) 515-1373

3321 N Buffalo Dr
Ste 225
Las Vegas, NV 89129
Phone (702) 816-0226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841372463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 VALLEY GLEN WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432122",
            "telephone_number": "323-292-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446367",
            "telephone_number": "818-832-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIGBOLU",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "625185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.