EBELE OYIBO MBELEDOGU


Address: 2501 Mchenry Ave Ste F, Modesto, CA 95350
Phone: 2095229054

EBELE OYIBO MBELEDOGU (NPI# 1689071169) 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) 1689071169
Entity Type Individual
Full Name EBELE OYIBO MBELEDOGU
Credential FNP-BC
Practice Address 2501 Mchenry Ave Ste F
Modesto
CA 95350
Mailing Address 2501 Mchenry Ave
Ste F
Modesto
CA 95350-3257
Practice Telephone 2095229054
Mailing Telephone 8122056598
Enumeration Date 2014-11-26
Last Update Date 2018-09-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
95001325 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
95001325 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95024378 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
95001325 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LS0200X Nurse Practitioner
Specialization: School
95001325 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
95001325 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2501 MCHENRY AVE STE F
City MODESTO
State CA
Zip Code 95350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467533737 Aspen Family Medical Group of Modesto, Inc. Family Medicine 2501 Mchenry Ave Ste F, Modesto, CA 95350-3257 2006-10-17
1568995546 Beverly Hodges Nurse Practitioner 2501 Mchenry Ave Ste F, Modesto, CA 95350-3257 2017-04-06
1396978367 Micheline Diane Iungerich Nurse Practitioner 2501 Mchenry Ave Ste F, Modesto, CA 95350-3257 2009-08-25
1205089752 Sarita Kumar Nurse Practitioner 2501 Mchenry Ave Ste F, Modesto, CA 95350-3257 2008-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316968654 Patricia E Conteh Nurse Practitioner 1208 9th St, Modesto, CA 95354-0713 2006-07-22
1215069307 Maureen Patricia Mckibban Nurse Practitioner 1400 K St, Modesto, CA 95354-1018 2007-03-12
1386672848 Lynnette F. Tripp Nurse Practitioner 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 2006-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154573 Marcus Jang Nurse Practitioner 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 2020-11-04
1033718580 John Sylvanus Allieu Sr. Nurse Practitioner 2672 Merganser Ct, Los Banos, CA 93635-9473 2020-10-25
1316546930 Chika U Oguagha Nurse Practitioner 16240 Carmine St, Fontana, CA 92336-1481 2020-10-23
1215534888 Rosa Maria Aguero Nurse Practitioner 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 2020-10-06
1134726995 Margarita Maghtesyan Nurse Practitioner 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 2020-10-05
1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
1477167666 David Joseph Russell Nurse Practitioner 17846 Glenwood Rd, Manteca, CA 95336-9521 2020-09-03
1194339382 Albert Liu Nurse Practitioner 43559 Southerland Way, Fremont, CA 94539-5931 2020-09-03
1407469554 Andre Alexandrian Nurse Practitioner 1606 Winona Ave, Burbank, CA 91504-2823 2020-08-28
1790398238 Heather Richardson Nurse Practitioner 112 S Park St Ste 1, San Francisco, CA 94107-1809 2020-08-25
Find all providers with the same taxonomy

Competitor

Search similar providers

City MODESTO
Zip Code 95350

Improve Information

Please comment or provide details below to improve the information on EBELE OYIBO MBELEDOGU.

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.

Trending Searches