Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ezinwanyi Gift Mark

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1780374900

Ezinwanyi Gift Mark is a Nurse Practitioner in Riverside, California. Qualified in 2022, 4 years ago. Practices with Inland Psychiatric Medical Group Inc, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9990 County Farm Rd
Riverside, CA 92503-3542
Phone: (951) 358-3610
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95023172 (CA)

Record details

NPI number1780374900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Inland Psychiatric Medical Group Inc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverside