MR. ENYICHI NATHANIEL NDUBUEZE


Address: 660 Gretchen Rd, Chula Vista, CA 91910-6258
Phone: 7736799080

MR. ENYICHI NATHANIEL NDUBUEZE (NPI# 1699107847) 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) 1699107847
Entity Type Individual
Full Name MR. ENYICHI NATHANIEL NDUBUEZE
Credential SFIDC
Practice Address 660 Gretchen Rd
Chula Vista
CA 91910-6258
Practice Telephone 7736799080
Mailing Telephone 7736799080
Enumeration Date 2013-07-30
Last Update Date 2013-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 660 GRETCHEN RD
City CHULA VISTA
State CA
Zip Code 91910-6258

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356902118 Paul Michael Isgar Military Health Care Provider 1155 Calle Tesoro, Chula Vista, CA 91915-1262 2019-06-24
1306401245 Virgilio Francisco Coloso Military Health Care Provider 1745 Thompson Ave, Chula Vista, CA 91913-4338 2019-05-07
1821508003 Edgar Omar Garcia Military Health Care Provider 454 E H St Apt 706, Chula Vista, CA 91910-7468 2017-10-02
1417376187 Joshua Hervas Military Health Care Provider 2710 Apricot Court, Chula Vista, CA 91915 2014-04-10
1285059352 Victoria Dodge Military Health Care Provider 50 E Flower St Apt 76, Chula Vista, CA 91910-7610 2014-02-26
1801232236 Edgar N Ibay Military Health Care Provider 1992 Caminito De La Cruz, Chula Vista, CA 91913 2013-05-13
1447695077 Philip Labo Fabunan Military Health Care Provider 1484 Canvas Dr Unit 6, Chula Vista, CA 91913-4983 2013-05-09
1053690610 Justin Mel Millard Military Health Care Provider 825 E Palomar St, Chula Vista, CA 91911-6992 2011-08-12
1316225519 Edward John Ronquillo Military Health Care Provider 1642 Hickory Nut Pl, Chula Vista, CA 91915-1728 2011-07-22
1477844280 Alredo Chavez Military Health Care Provider 2460 Steamboat Springs Ct., Chula Vista, CA 91915 2011-04-27
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Competitor

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City CHULA VISTA
Zip Code 91910

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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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