NDIDIAMAKA MONIQUE UDEH


Address: 43839 N 15th St West, High Desert Medical Corp., Lancaster, CA 93534-4659
Phone: 6619455984

NDIDIAMAKA MONIQUE UDEH (NPI# 1194269993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194269993
Entity Type Individual
Full Name NDIDIAMAKA MONIQUE UDEH
Credential N.P
Practice Address 43839 N 15th St West
High Desert Medical Corp.
Lancaster
CA 93534-4659
Mailing Address 15815 Iron Canyon Lane
Victorville
CA 92394
Practice Telephone 6619455984
Practice Fax Number 6619513192
Mailing Telephone 3102593398
Enumeration Date 2016-12-13
Last Update Date 2017-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95005826 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 43839 N 15TH ST WEST
HIGH DESERT MEDICAL CORP.
City LANCASTER
State CA
Zip Code 93534-4659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558371567 Christine M Helbling General Practice 43839 N 15th St West, High Desert Medical Group, Lancaster, CA 93534 2006-08-09
1831638824 Karen Lockheart Nurse Practitioner 43839 N 15th St West, High Desert Medical Corp, Lancaster, CA 93534-4659 2017-02-23
1437262821 Joseph Fajardo Valentino Family Medicine 43839 N 15th St West, High Desert Medical Group, Lancaster, CA 93534 2006-08-17
1861505265 Don Victor Parazo Family Medicine 43839 N 15th St West, High Desert Medical Group, Lancaster, CA 93534 2006-08-17

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NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1083211361 Jessica Nicole Paradise Nurse Practitioner 2112 Harrisburg Pike Ste 3, Lancaster, PA 17601-2644 2020-10-08
1497360184 Wambui June Mwangi Nurse Practitioner 1821 Kaylyn St, Lancaster, CA 93535-2970 2020-09-10
1245841063 Shannah Click Nurse Practitioner 1683 Kirksville Rd, Lancaster, KY 40444-9715 2020-08-14
1609498658 Christien Eileen Olewniczak Nurse Practitioner 3592 Walden Ave Apt 3, Lancaster, NY 14086-1267 2020-05-13
1154955565 Courtney Phillips Nurse Practitioner 333 Lancaster Byp E, Lancaster, SC 29720-4758 2020-02-24
1609416205 Michelle De Ynchausti Nurse Practitioner 42135 10th St W Ste 201, Lancaster, CA 93534-6093 2020-01-10
1073151049 Julia Scott Nurse Practitioner 667 Steinman Dr, Lancaster, PA 17603-2351 2019-12-20
1780229682 Brandi Ann Tipple Nurse Practitioner 2855 Wheeling Rd Ne, Lancaster, OH 43130-8508 2019-11-14
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Competitor

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City LANCASTER
Zip Code 93534

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Dataset Information

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.

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