Kufreabasi Idiong

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW90638 Issued in CA

Practice address

39990 Faure Rd
Hemet, CA 92544-9408

Phone

(951) 708-4020

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1992335442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28795 CEDAR BROOK LN",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847471",
            "telephone_number": "760-583-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39990 FAURE RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925449408",
            "telephone_number": "951-708-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDIONG",
        "first_name": "KUFREABASI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW90638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kufreabasi.idiong@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "Agency Secured Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39990 Faure Rd",
            "city": "Hemet",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925449408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eden Ibarra
• Lee Ibarra, D.M.D.
• Essam A Ibrahim, DDS
• Ibrahim, Hashem and Salem Dental Corporation
• Briniti Ichull, PHD
• Sandy Annette Idle
• Ingris Iglecias
• Daniel Igwe Jr., MD
• Judith Aranas Ikezuagu, M.D.
• Matthew Hyun Im, MD

• Social Worker in Hemet, CA
• Providers in Hemet, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.