PRINCE C ESIOBU (NPI# 1023329638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023329638 |
Entity Type | Individual |
Full Name | PRINCE C ESIOBU |
Credential | MD |
Practice Address |
7300 Magnolia Ave Riverside CA 92504-3849 |
Mailing Address |
Po Box 2828 Corona CA 92878-2828 |
Practice Telephone | 9512788870 |
Mailing Telephone | 9512788870 |
Enumeration Date | 2010-06-29 |
Last Update Date | 2020-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | A156386 | CA | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A156386 | CA | Allopathic & Osteopathic Physicians |
Street Address |
7300 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92504-3849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811992183 | Jack H Akmakjian | Orthopaedic Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2005-06-14 |
1407292758 | Mina Saeed | Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3849 | 2013-05-14 |
1538422704 | Francisco Vega | Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3849 | 2012-06-21 |
1841500626 | Naren Vasudevan | Physician Assistant | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2010-10-14 |
1649591454 | Michael Nguyen Tran | Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3849 | 2010-06-15 |
1528213303 | Jack H. Akmakjian, Md Inc. | Orthopaedic Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2008-11-20 |
1508872136 | Unilab Corporation | Clinical Medical Laboratory | 7300 Magnolia Ave, Riverside, CA 92504-3810 | 2006-08-01 |
1114940038 | Ahmed M. Mahmoud | Surgery | 7300 Magnolia Ave, Riverside, CA 92504-3849 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
Find all providers in zip 92504 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114147592 | Franklin Kieu Torres | Surgery | 3660 Park Sierra Dr Ste 105, Riverside, CA 92505-3071 | 2007-04-26 |
1215135496 | Xiu-jie Wang | Surgery | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3081 | 2007-07-10 |
1861541153 | Brian S. Campbell | Surgery | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-09 |
1598813396 | James D. Simpson | Surgery | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-01-08 |
1366452245 | Sung K Kim | Surgery | 10800 Magnolia Ave, Department of General Surgery, Riverside, CA 92505-3043 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.