DOREEN DORA CHIBWETH NP NPI 1528715653

NPI Information

NPI: 1528715653
Provider Name: DOREEN DORA CHIBWETH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3090 BRISTOL ST STE 200
COSTA MESA, CA
ZIP 92626
Phone: (888) 789-9585
Get Directions

Doreen Dora Chibweth, NP is a family nurse practitioner in Costa Mesa, CA. Doreen Dora Chibweth, NP NPI is 1528715653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3090 BRISTOL ST STE 200
COSTA MESA, CA
ZIP 92626-061
Phone: (888) 789-9585
Fax: (562) 803-4500

The NPI 1528715653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95019707	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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