Individual provider Active NPI

Edobor Kennedy Onoigboria

  • Licensed Vocational Nurse
  • Fontana, CA
National Provider Identifier
1952212144
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN691547 Issued in CA
Practice address
4962 Boston Ivy St
Fontana, CA 92336-6607
Phone
(909) 827-0845
NPI assigned
Sep 15, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X VN691547 CA Primary

Addresses

Primary practice location

4962 Boston Ivy St
Fontana, CA 92336-6607

Mailing address

4962 Boston Ivy St
Fontana, CA 92336-6607
Phone (909) 825-7084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1952212144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4962 BOSTON IVY ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923366607",
            "telephone_number": "909-825-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 BOSTON IVY ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923366607",
            "telephone_number": "909-827-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOIGBORIA",
        "first_name": "EDOBOR",
        "middle_name": "KENNEDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN691547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.