Agatha N Ihenacho, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT31594 Issued in CA

Practice address

455 Silicon Valley Blvd
San Jose, CA 95138

Phone

(408) 284-9000

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Agatha N Ezeka Professional name

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871622761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 BLACKBERRY CT",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203424",
            "telephone_number": "408-848-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SILICON VALLEY BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95138",
            "telephone_number": "408-284-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHENACHO",
        "first_name": "AGATHA",
        "middle_name": "N",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT31594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGATHA",
            "last_name": "EZEKA",
            "middle_name": "N",
            "credential": "LPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea Dinh Ignacio, PHARM.D
• Eula Joyce Ignacio
• Claire Iguchi
• Uwa Igwe-Kalu
• Iheke Sylvester Iheke
• Eloka Ikebudu, M.D.
• Janis Noda Ikeda, OTR/L
• Linda Marie Ikeda, RN, MFT
• James Kenji Ikehara, DDS
• Michelle L Ikei

• Licensed Psychiatric Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Psychiatric Technician in California

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