MERCY EGBUJOR (NPI# 1326001439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326001439 |
| Entity Type | Individual |
| Full Name | MERCY EGBUJOR |
| Credential | NP |
| Practice Address |
2011 Little Orchard St Puentes Clinic-internal Medicine San Jose CA 95125-1031 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4082942100 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 481610 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
481610 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
481610 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669813531 | Mercy Uchechi Egbujor | Physical Therapist | 3275 C St, Apt 207, San Diego, CA 92102-2453 | 2013-07-08 |
| Street Address |
2011 LITTLE ORCHARD ST PUENTES CLINIC-INTERNAL MEDICINE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234344 | Samuel Wilborn | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2019-09-16 |
| 1710535570 | Marshey Dechelle Brown | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2019-08-26 |
| 1518443456 | Griselda Vanessa Rodriguez | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2018-07-13 |
| 1780191866 | Gary Davidson | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2018-01-10 |
| 1922527159 | April Hadley Ward | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2017-09-19 |
| 1326562927 | Luserito Carlos | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2017-07-26 |
| 1164975140 | David Wallsom | Counselor | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2016-07-26 |
| 1629426945 | Homefirst | Community/Behavioral Health | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2016-05-26 |
| 1124400445 | Teresa Schmitz | Social Worker | 2011 Little Orchard St, San Jose, CA 95125-1031 | 2015-06-23 |
| 1053759449 | Janeen Chumley | Occupational Therapist | 2011 Little Orchard St, Apt/suite, San Jose, CA 95125-1031 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| 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 |
|---|---|---|---|---|
| 1932734365 | La K Dinh | Nurse Practitioner | 749 Story Rd Ste 20, San Jose, CA 95122-2600 | 2020-03-05 |
| 1568012144 | Mandeep Kaur Gill | Nurse Practitioner | 4735 Hamilton Ave Ste 80, San Jose, CA 95130-1769 | 2019-09-16 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1770084246 | Amisha Oza | Nurse Practitioner | 1432 W San Carlos St Ste 10, San Jose, CA 95126-5409 | 2018-02-21 |
| 1376041459 | Karina Dempsey | Nurse Practitioner | 2264 Winepol Loop, San Jose, CA 95125-6636 | 2018-01-24 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356862163 | Natasha Michon Ruiz | Nurse Practitioner | 2516 Samaritan Dr Ste M, San Jose, CA 95124-4108 | 2017-06-30 |
| 1598203408 | Lea Revita Lopez | Nurse Practitioner | 751 S Bascom Ave Bldg Q, Otolaryngology/head and Neck Surgery, San Jose, CA 95128-2604 | 2017-02-10 |
| 1053719492 | Marie Cardine Preval | Nurse Practitioner | 4400 The Woods Dr Apt 2033, San Jose, CA 95136-3867 | 2014-12-17 |
| Find all providers in SAN JOSE | ||||
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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.