Maureen U Ezeigwe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95029246 Issued in CA

Practice address

16177 Hesperian Blvd Ste C
San Lorenzo, CA 94580-2451

Phone

(707) 690-4098

NPI assigned

Mar 21, 2024

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maureen Ezeigwe, a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakley, CA
  • NPI 1699657650
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1952161291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16177 HESPERIAN BLVD STE C",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945802451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16177 HESPERIAN BLVD STE C",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945802451",
            "telephone_number": "707-690-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEIGWE",
        "first_name": "MAUREEN",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Dailey
• Annalyn Damani, PT
• Araceli Oreto De Vera, RN
• Frances Delgadillo, LCSW
• East Bay Agency for Children
• Andrew Lazaro Fonticiella, PA STUDENT
• G Kohli Professional Dental Corporation
• Nicole D Gallegos
• Irene Villacorta Garcia
• Brandi S Gates

• Psychiatric/Mental Health Nurse Practitioner in San Lorenzo, CA
• Providers in San Lorenzo, 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 Nov 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.