MR. OKAGBUO CONSTANTINE ISIDIENU (NPI# 1588075865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588075865 |
| Entity Type | Individual |
| Full Name | MR. OKAGBUO CONSTANTINE ISIDIENU |
| Credential | LVN |
| Practice Address |
8810 Rio San Diego Dr 2nd Floor San Diego CA 92108-1698 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8585528585 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN277859 | CA | Nursing Service Providers |
| Street Address |
8810 RIO SAN DIEGO DR 2ND FLOOR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1508412461 | Shawnee Brew | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-08-15 |
| 1255897369 | Kiara Chanel Caryl Wesley | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-02-13 |
| 1881040236 | Jamie Porcadas | Family Medicine | 8810 Rio San Diego Dr, San Diego, CA 92108 | 2016-05-04 |
| 1336510387 | Victoria A. Farrow | Psychologist | 8810 Rio San Diego Dr, (116a4z), San Diego, CA 92108-1698 | 2015-10-16 |
| 1730570235 | Sara Crouch | Social Worker | 8810 Rio San Diego Dr, Suite 2161, San Diego, CA 92108-1698 | 2015-02-05 |
| 1407160823 | Denise Catherine Ferraro-trapp | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-07-27 |
| 1093046682 | Patience Allison | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-01-20 |
| 1255563656 | Caleb Yoon Yol Ra | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2009-08-18 |
| 1740414218 | Lindsay Gold | Social Worker | 8810 Rio San Diego Dr, Suite 2200, San Diego, CA 92108-1698 | 2009-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908782 | Ying Pan | Licensed Vocational Nurse | 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 | 2020-10-05 |
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1750909156 | Hillary Carlson | Licensed Vocational Nurse | 4651 36th St, San Diego, CA 92116-3642 | 2020-07-12 |
| 1841816501 | Cristiana Paris Zajac | Licensed Vocational Nurse | 2654 Worden St Unit 106, San Diego, CA 92110-5849 | 2020-06-18 |
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1720555659 | Noelle Dizon | Licensed Vocational Nurse | 3585 Acacia St, San Diego, CA 92113-3130 | 2018-10-29 |
| 1285114728 | Tashiya Jean Miller | Licensed Vocational Nurse | 3053 Chamoune Ave, San Diego, CA 92105-4307 | 2018-08-15 |
| 1013402445 | Eduardo Carrera | Licensed Vocational Nurse | 11210 Corte Playa Corona, San Diego, CA 92124-4134 | 2018-06-27 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
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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.