OGHENEFEJIRO M ETIBO (NPI# 1336763325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336763325 |
| Entity Type | Individual |
| Full Name | OGHENEFEJIRO M ETIBO |
| Practice Address |
625 Citracado Pkwy Ste 102 Escondido CA 92025-6428 |
| Practice Telephone | 7602949270 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
625 CITRACADO PKWY STE 102 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912240318 | Margaret Anello | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-03 |
| 1902418056 | Jorge Gomez | Rehabilitation Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2020-08-19 |
| 1225652134 | Mariel Higuera | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2020-06-05 |
| 1831650530 | Winfred Alarcon | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2019-03-26 |
| 1366902504 | Nicole Leann Bravo | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2019-03-22 |
| 1144739350 | Jessica Liliana Cerda | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025 | 2017-09-20 |
| 1407388457 | Maria Cecilia Irigaray | Marriage & Family Therapist | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2017-03-29 |
| 1942741707 | Nelly Alegria | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2017-03-13 |
| 1467795732 | Rosa Laura Meneses | Marriage & Family Therapist | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139739 | Chris George Taylor | Student in an Organized Health Care Education/Training Program | 625 Citracado Pkwy Ste 100, Escondido, CA 92025-6428 | 2020-06-18 |
| 1164044731 | Kasey Nicole Fontaine | Student in an Organized Health Care Education/Training Program | 20732 Elfin Forest Rd, Escondido, CA 92029-3313 | 2020-05-17 |
| 1871097287 | Pooja Harish Patel | Student in an Organized Health Care Education/Training Program | 2135 Firethorn Gln, Escondido, CA 92027-1152 | 2018-03-20 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| 1629524285 | Danielle Barnes | Student in an Organized Health Care Education/Training Program | 490 N Grape St., Escondido, CA 92025 | 2016-09-01 |
| 1316493653 | Elvin Klint Jamandre | Student in an Organized Health Care Education/Training Program | 490 North Grape St., Escondido, CA 92025 | 2016-08-28 |
| 1861852675 | Michelle Hackbardt | Student in an Organized Health Care Education/Training Program | 1975 Woodland Valley Gln, Escondido, CA 92026-3836 | 2016-03-07 |
| 1528408309 | Amber Suzanne Dixon | Student in an Organized Health Care Education/Training Program | 660 E Grand Ave, Escondido, CA 92025-4403 | 2013-06-26 |
| 1487811345 | Annie Marie Merkel | Student in an Organized Health Care Education/Training Program | 490 N Grape St, Escondido, CA 92025-3079 | 2008-05-19 |
| 1497817506 | Carrie Beiner Nichols | Student in an Organized Health Care Education/Training Program | 240 S Hickory St # 210, Escondido, CA 92025-4355 | 2006-12-14 |
| Find all providers in ESCONDIDO | ||||
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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.