CHIDI R. DURU (NPI# 1265860167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265860167 |
| Entity Type | Individual |
| Full Name | CHIDI R. DURU |
| Credential | NP |
| Practice Address |
17500 Foothill Blvd A-2 Fontana CA 92335-3798 |
| Mailing Address |
200 Oceangate Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 9094280170 |
| Practice Fax Number | 8777789312 |
| Mailing Telephone | 9094280170 |
| Mailing Fax Number | 8777789312 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23292 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
23292 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17500 FOOTHILL BLVD A-2 |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922037738 | Lannie Moy | Family Medicine | 17500 Foothill Blvd, #a-2, Fontana, CA 92335-3736 | 2006-07-02 |
| 1912394255 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 17500 Foothill Blvd, Suite A2, Fontana, CA 92335-3736 | 2015-04-24 |
| 1922379668 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 17500 Foothill Blvd, #a-2, Fontana, CA 92335-3798 | 2012-01-25 |
| 1750510251 | Jennifer Josephine D'sa | Family Medicine | 17500 Foothill Blvd, #a-2, Fontana, CA 92335-3798 | 2009-07-07 |
| 1487803433 | Laura Y. Jimenez, Dds Prof. Dental Corp | Dentist | 17500 Foothill Blvd, Fontana, CA 92335-3736 | 2008-09-15 |
| 1770772071 | Enrico A Melson | Family Medicine | 17500 Foothill Blvd, Suite A-2, Fontana, CA 92335-3798 | 2007-10-23 |
| 1487786323 | Ricardo Villanueva | Dentist | 17500 Foothill Blvd, Suite C-2, Fontana, CA 92335-3736 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1861854846 | Berenice Esperanza Vazquez | Nurse Practitioner | 17284 Slover Ave Ste 201, Fontana, CA 92337-7584 | 2016-03-28 |
| 1861857260 | Erica Scott | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-12-29 |
| 1356657993 | Sandra Leija Valenzuela | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2010-08-20 |
| 1962607606 | Leanna Nan Hizon | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-06-20 |
| 1316148208 | Kathleen Purcell | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-05-30 |
| 1245355742 | Sumira Kemp | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-03-21 |
| 1336264837 | Amanda Harris | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-03-21 |
| 1285782110 | Rhonda A Ochoa | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1003975731 | Yael Steinfeld | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-12-08 |
| Find all providers in FONTANA | ||||
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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.