Provider / Organization | NPI | Date Certified |
---|---|---|
ERIC ALEMNJI EFUETNGU | 1215365408 | 2013-10-24 |
Eric Alemnji Efuetngu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215365408. Registration indicates Eric Alemnji Efuetngu is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Mr. Eric Alemnji Efuetngu FNP-C |
Practice Office Address | 255 N D ST STE 400 SAN BERNARDINO, CA US |
Practice Office Telephone | 9513185395 |
Mailing Address | 255 N D ST STE 400 SAN BERNARDINO, CA 924011715 US |
Business Telephone | 9513185395 |
Address | City / State | Phone / Fax |
---|---|---|
7965 Sierra Ave Ste E | Fontana, CA 923363329 | 9093564459 |
Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) Southern California Permanente Medical Group |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 23702
CA |