DR. IFEATU B ENEMMUO


Address: 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225
Phone: 9258251793

DR. IFEATU B ENEMMUO (NPI# 1952969008) 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) 1952969008
Entity Type Individual
Full Name DR. IFEATU B ENEMMUO
Credential PMHNP
Practice Address 1333 Willow Pass Rd Ste 102
Concord
CA 94520-5225
Mailing Address 4883 Snowy Egret Way
Oakley
CA 94561-1697
Practice Telephone 9258251793
Mailing Telephone 9256422039
Enumeration Date 2019-06-04
Last Update Date 2019-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95011649 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1333 WILLOW PASS RD STE 102
City CONCORD
State CA
Zip Code 94520-5225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144380940 Holli Marie Hoffman Nurse Practitioner 1333 Willow Pass Rd Ste 102, Concord, CA 94520 2006-12-11
1114524923 Patrick Burns Social Worker 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2020-10-05
1265046031 Melina M Polit Dillon Student in an Organized Health Care Education/Training Program 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2020-08-31
1851917876 Katrina Marsh Counselor 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2020-06-25
1427674480 Armaan Sharma Counselor 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2020-06-24
1568088797 Alicia Nicole Torres Psychologist 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2020-06-23
1992349757 Yi-wei Chiu Student in an Organized Health Care Education/Training Program 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2019-11-04
1568011708 Kristina M Oshiro Student in an Organized Health Care Education/Training Program 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2019-09-10
1942862289 Tracey Lion-cachet Student in an Organized Health Care Education/Training Program 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2019-07-08
1972163335 Gabriel Hoffmann Corpus Student in an Organized Health Care Education/Training Program 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 2019-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275130163 Jessica E. Hiers Audiologist 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 2020-10-05
1538712690 Melody Louise Todd Student in an Organized Health Care Education/Training Program 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 2019-07-18
1497319446 Nately Rose Social Worker Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 2019-04-25
1609331412 Darien Mccollins Jr. Case Manager/Care Coordinator 2380 Salvio Street Stu 200, Concord, CA 94520 2019-02-06
1972072122 Rocio Flores Neale Physician Assistant 2415 High School Avenue, Suite 800, Concord, CA 94520 2018-11-16
1386129138 Vanessa Segovia Registered Nurse 2500 Bates Ave., Suite B, Concord, CA 94520 2018-09-27
1417442278 Raquel Jihan Chiasson Social Worker 2900 Avon Avenue, Concord, CA 94520 2018-06-25
1184118143 Angela Navarro Behavioral Analyst 1844 Overhill Rd, Concord, CA 94520 2018-06-21
1811498678 Sherry Currie-proctor Case Manager/Care Coordinator 2380 Salvio Street, Concord, CA 94520 2018-02-26
1770082547 Donna Christianson Marriage & Family Therapist 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 2018-02-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154591030 Craig Sussman Nurse Practitioner 111 Old Road To Nine Acre Corner, Concord, MA 01742-4141 2008-03-06
1306906417 Steve Arvin Nurse Practitioner 100 Hall St, Concord, NH 03301-3408 2006-12-11
1144380940 Holli Marie Hoffman Nurse Practitioner 1333 Willow Pass Rd Ste 102, Concord, CA 94520 2006-12-11
1225003908 Patricia A Orzano Nurse Practitioner 278 Pleasant Street, Riverbend Counseling Associates, Concord, NH 03301 2006-02-17
1437132941 Nancy Clark Nurse Practitioner 40 Pleasant St, Concord, NH 03301-4006 2005-11-29
1326030792 Lacy Henry Miller Nurse Practitioner 284 Executive Park Dr, Concord, NC 28025-1831 2005-08-22
1063013423 Timothy Bailey Nurse Practitioner 36 Clinton St, Concord, NH 03301-2359 2020-11-03
1447868617 Meghan Dumas Farley Nurse Practitioner 36 Clinton St, Concord, NH 03301-2359 2020-07-14
1073145199 Ry K Billadeau Nurse Practitioner 33 Warren St, Concord, NH 03301-4049 2020-02-06
1073158101 David Jihun Choi Nurse Practitioner 281 N State St, Concord, NH 03301-3227 2019-11-13
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Competitor

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City CONCORD
Zip Code 94520

Improve Information

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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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