DR. DONNA NISSLEY NCHEKWUBE (NPI# 1457324931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457324931 |
| Entity Type | Individual |
| Full Name | DR. DONNA NISSLEY NCHEKWUBE |
| Credential | MD |
| Practice Address |
1825 Civic Center Dr 17 Santa Clara CA 95050-7301 |
| Mailing Address |
1825 Civic Center Dr 17 Santa Clara CA 95050-7302 |
| Practice Telephone | 4082363500 |
| Practice Fax Number | 4082363571 |
| Mailing Telephone | 4082363500 |
| Mailing Fax Number | 4082363527 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2009-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 4301037780 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G39162 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | 00G391620 | 01 |
| Street Address |
1825 CIVIC CENTER DR 17 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851574289 | Jan Kenneth Klofter | Physical Therapist | 1825 Civic Center Dr, Santa Clara, CA 95050-7301 | 2007-12-07 |
| 1447430954 | William H Trolan Md Inc. | Clinic/Center | 1825 Civic Center Dr, Suite # 7, Santa Clara, CA 95050-7301 | 2007-11-13 |
| 1194917369 | E and D Nchekwube, Md, Inc | General Practice | 1825 Civic Center Dr, #17, Santa Clara, CA 95050-7302 | 2007-08-13 |
| 1083750764 | Ptr Sports, A Medical Corporation | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2007-01-29 |
| 1801900220 | Jeffrey G Blue | Family Medicine | 1825 Civic Center Dr, Suite 25, Santa Clara, CA 95050-7301 | 2006-08-19 |
| 1568479327 | Khaliq A. Shah | Internal Medicine | 1825 Civic Center Dr, Suite 13, Santa Clara, CA 95050-7301 | 2006-08-02 |
| 1306819826 | Emeka J Nchekwube | Neurological Surgery | 1825 Civic Center Dr, 17, Santa Clara, CA 95050-7301 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148050 | Xi Zhai | General Practice | 1231 Franklin Mall # 207, Santa Clara, CA 95050-4806 | 2017-04-17 |
| 1578856936 | Elvira C Valino | General Practice | 4988 Avenida De Los Arboles, Santa Clara, CA 95054-1427 | 2011-05-18 |
| 1952573826 | John Christian Oneil | General Practice | 1659 Scott Blvd Ste 30, Santa Clara, CA 95050-4137 | 2008-03-31 |
| 1912385204 | Yu-hsi Hu | General Practice | 500 El Camino Real, Santa Clara, CA 95053-1000 | 2015-05-07 |
| 1194917369 | E and D Nchekwube, Md, Inc | General Practice | 1825 Civic Center Dr, #17, Santa Clara, CA 95050-7302 | 2007-08-13 |
| 1851419907 | John Peterson | General Practice | 700 Lawrence Expy, Dept 200, Santa Clara, CA 95051-5173 | 2007-03-27 |
| 1710075940 | Good Hand Medical Center, Inc | General Practice | 3466 El Camino Real, Santa Clara, CA 95051-2809 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
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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.