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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
Street Address |
660 GRETCHEN RD |
City | CHULA VISTA |
State | CA |
Zip Code | 91910-6258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
Find all providers in zip 91910 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
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] |
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 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91910 |
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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.