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

Mrs. Ngozi Edith Eboka

Individual provider Family Nurse Practitioner · NPI 1669995494

Mrs. Ngozi Edith Eboka is a Nurse Practitioner in Menifee, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

29833 Twin Lakes Rd
Menifee, CA 92585-9255
Phone: (909) 205-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95006789 (CA)

Record details

NPI number1669995494
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2017
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address29833 Twin Lakes Rd, Menifee, CA 92585-9255

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Menifee