Individual provider Active NPI

Adaobi Ginigeme

  • Infusion Therapy Registered Nurse
  • Concord, CA
National Provider Identifier
1972957306
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
730014 Issued in CA
Practice address
4805 Clayton Rd
11
Concord, CA 94521-2989
Phone
(855) 565-8746
Fax
(844) 565-8746
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 730014 CA
Infusion Therapy Registered Nurse 163WI0500X 730014 CA Primary
Community Health Registered Nurse 163WC1500X 548003 CA

Addresses

Primary practice location

4805 Clayton Rd
11
Concord, CA 94521-2989

Mailing address

PO Box 2371
Pleasant Hill, CA 94523-0071
Phone (855) 565-8746

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
548003CAMDCommunity Health Registered Nurse
730014CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1972957306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2371",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945230071",
            "telephone_number": "855-565-8746",
            "fax_number": "844-565-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 CLAYTON RD",
            "address_2": "11",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212989",
            "telephone_number": "855-565-8746",
            "fax_number": "844-565-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINIGEME",
        "first_name": "ADAOBI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "730014",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "730014",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "548003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.