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EZINWANYI GIFT MARK
NPI 1780374900
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since May 10, 2023PECOS EnrolledAccepts Medicare Assignment
9990 COUNTY FARM RD, RIVERSIDE, CA 92503(951) 358-3610 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ezinwanyi Gift Mark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZINWANYI GIFT MARK (NPI 1780374900) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95023172) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780374900
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEZINWANYI GIFT MARK
Location Address9990 COUNTY FARM RDRiverside, CA 92503-3542
Mailing Address8237 Highridge PlRancho Cucamonga, CA 91730-3170 · (626) 215-4361
Phone(951) 358-3610
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 10, 2023
NPPES CertifiedMay 5, 2023
✔ NPI 1780374900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95023172
9990 COUNTY FARM RD, Riverside, CA 92503
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ezinwanyi Gift Mark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103277637
PECOS Enrollment IDI20240109004844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DESIREE C NWIGWE APRN, PMHNP, PHN
Nurse Practitioner (Psychiatric/Mental Health)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4000
ANDREW MUSSELMAN
Peer Specialist
9990 COUNTY FARM RD, SUITE 6
RIVERSIDE, CA 92503
Riverside County (866) 481-5361
DR. DAVID ROBERT SEIGLER M.D.
Psychiatry & Neurology (Psychiatry)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4881
DR. TOKUNBO LABISI WILLIAMS M.D
Psychiatry & Neurology (Psychiatry)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4770
SARAH MATIGI PSYCHIATRIC NP
Nurse Practitioner (Psychiatric/Mental Health)
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-4881
ALISIA LASCANO-OROPEZA
Counselor (Mental Health)
9990 COUNTY FARM RD, SUITE 5
RIVERSIDE, CA 92503
Riverside County (951) 358-4834
MS. MEGHAN PATTERSON
Behavior Analyst
9990 COUNTY FARM RD
RIVERSIDE, CA 92503
Riverside County (951) 358-6922
MR. SAMUEL NECTALI MARTINEZ BSW
Counselor (Mental Health)
9990 COUNTY FARM RD, SUITE 5
RIVERSIDE, CA 92503
Riverside County (760) 238-8385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezinwanyi Mark's NPI number?

The NPI number for Ezinwanyi Mark is 1780374900. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Ezinwanyi Mark located?

Ezinwanyi Mark practices at 9990 County Farm Rd, Riverside, CA 92503. The listed phone number is (951) 358-3610.

What is Ezinwanyi Mark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ezinwanyi Mark enrolled in Medicare?

Yes. Ezinwanyi Mark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ezinwanyi Mark accept?

Health plans from Providence Health Plan list Ezinwanyi Mark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezinwanyi Mark was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.