CHUKWUJINDU EZIAFAKAEGO OTAKPOR (NPI# 1275869794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275869794 |
| Entity Type | Individual |
| Full Name | CHUKWUJINDU EZIAFAKAEGO OTAKPOR |
| Practice Address |
7795 Freesia Way Fontana CA 92336-4805 |
| Practice Telephone | 9095329771 |
| Mailing Telephone | 9095329771 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
7795 FREESIA WAY |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-4805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497238018 | Christine Sarah Capella | Counselor | 14228 Farralon Ct, Fontana, CA 92336-3715 | 2018-09-10 |
| 1659745099 | Thurma Stewart | Counselor | 15370 Yew Ct, Fontana, CA 92335-0011 | 2015-11-23 |
| 1811390644 | April Lota | Counselor | 17053 Foothill Blvd Bldg B, Fontana, CA 92335 | 2014-10-07 |
| 1841443371 | Enid Reece | Counselor | 5626 Scharf Ave, Fontana, CA 92336-5917 | 2008-10-28 |
| 1447424031 | Jeffrey Randall Wirth | Counselor | 8485 Tamarind Ave, Ca, Fontana, CA 92335-3975 | 2008-04-15 |
| 1639361686 | Xochilt Rodriguez | Counselor | 14677 Merrill Ave, Fontana, CA 92335-4219 | 2007-08-14 |
| 1760509665 | Mark Anthony Jones | Counselor | 5526 Grand Prix Ct, Fontana, CA 92336-0102 | 2007-03-23 |
| 1851423206 | Georgia Ann Jackson-thompson | Counselor | 16090 Jackson Drvie, Fontana, CA 92336 | 2007-03-12 |
| 1942338645 | Tracy Adams | Counselor | 14525 Saddlepeak Ct., Fontana, CA 92336 | 2007-03-02 |
| 1427198035 | Ruth Ann Maloney | Counselor | 17216 Slover Ave, Suite L, Fontana, CA 92337-7580 | 2007-02-06 |
| 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.