Jackline Augustina Ikegwu

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95236994 Issued in CA

Practice address

3220 Sepulveda Blvd
Torrance, CA 90505-2744

Phone

(310) 940-8951

NPI assigned

Mar 20, 2023

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

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1982306676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18803 MOREHOUSE DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463908",
            "telephone_number": "310-940-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052744",
            "telephone_number": "310-940-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEGWU",
        "first_name": "JACKLINE",
        "middle_name": "AUGUSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95236994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaka Iheaka, RN
• Lori Ikari, ATC
• Ikeda Chiropractic Corporation
• Cliff Kazuo Ikeda, D.C.
• Tae Kim Ikefugi, O.D.
• Joann Ruth Ikeh, LMFT
• Muhammad Ikram
• Oluwaseun Patience Ikuomola
• Niloufar Ilani, M.D.
• Girlie Espiritu Ilao, OTR/L

• Home Health Registered Nurse in Torrance, CA
• Providers in Torrance, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.