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

Vitalis Egwim

Individual provider Nurse Practitioner · NPI 1265068878

Vitalis Egwim is a Nurse Practitioner in Colton, California. Qualified in 2019, 7 years ago. Practices with Community Health Centers of America, a 114-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1699 E Washington St Apt 2246
Colton, CA 92324-6460
Phone: (443) 742-8019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95014012 (CA)

Record details

NPI number1265068878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2020
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Community Health Centers Of America — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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