Fombe Ndiforchu, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

A26721 Issued in CA

Practice address

454 E Carson Plaza Dr
Suite 110
Carson, CA 90746-3209

Phone

(310) 516-0742

Fax

(310) 516-9158

NPI assigned

Jul 19, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982623179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0742",
            "fax_number": "310-516-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 110",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0742",
            "fax_number": "310-516-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIFORCHU",
        "first_name": "FOMBE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A26721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A267210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nations Group Inc (QD Nursing Services)
• Mac Navaro
• Carl Navarro
• Ndidi Onugha Uka DDS Inc
• Cassandra Jones Ndiforchu, M.D.
• Chigozie Ndolo, DPT
• Lilian Nkiru Ndukwe, MSN, FNP
• Mario Neely
• Teresa Alcantar Nelson, L.C.S.W.
• Jerell Nero

• Pediatric Surgery Physician in Carson, CA
• Providers in Carson, CA by specialty
• Pediatric Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.