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ETHEL NTOM ODIMEGWU FNP
NPI 1952934739
Nurse Practitioner - Family in San Diego, CA

Active since February 19, 2020
3633 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108(619) 287-9730(619) 287-4516 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Feb 19, 2020 (2 updates tracked since 2020).

About Ethel Ntom Odimegwu Fnp NPPES

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

ETHEL NTOM ODIMEGWU FNP (NPI 1952934739) is an individual family provider in San Diego, California, licensed in California (95013976) and active in the NPI registry since February 2020. He maintains a secondary practice location in El Centro.

NPPES Registry Identity

NPI1952934739
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHEL NTOM ODIMEGWUCredential: FNP
Location Address3633 CAMINO DEL RIO S STE 300San Diego, CA 92108-4014
Mailing Address15625 Mesa Verde DrMoreno Valley, CA 92555-4220 · (909) 565-2622
Phone(619) 287-9730
Fax(619) 287-4516
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1952934739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95013976
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95013976 (CA)
3633 CAMINO DEL RIO S STE 300, San Diego, CA 92108
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Secondary Practice Location 1

Location 1441 W State StEl Centro, CA 92243-3021 · Phone (760) 337-2949 · Fax (760) 337-5698

Other Providers at the Same Location NPPES 5

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

MICHAEL J MENG DC RMSK RN FNP
Nurse Practitioner (Family)
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-9730
DR. ANTHONY NGUYEN DPM
Podiatrist (Foot & Ankle Surgery)
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-9730
DR. MALAHAT MOVAHEDIAN M.D.
Internal Medicine (Rheumatology)
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-9730
DR. ARA HAGOP DIKRANIAN M.D
Internal Medicine (Rheumatology)
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-9730
TIMOTHY FRANCIS LAZAREK N.P.
Nurse Practitioner
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108
San Diego County (619) 287-9730

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 Ethel Odimegwu's NPI number?

The NPI number for Ethel Odimegwu is 1952934739. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Ethel Odimegwu located?

Ethel Odimegwu practices at 3633 Camino Del Rio S Ste 300, San Diego, CA 92108. The listed phone number is (619) 287-9730.

What is Ethel Odimegwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ethel Odimegwu was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.