MEDICARE: CHIOMA ENWEASOR M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	A151014	CA
2	208000000X	Pediatrics Physician	A151014	CA

General Provider Information

NPI Number	:	1184078099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIOMA ENWEASOR M.D

Provider Business Mailing Address
First Line	:	15290 SUMMIT AVE STE B
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-0240
Country	:	US
Telephone Number	:	909-225-1900
Fax Number	:	909-663-9072

Provider Business Practice Location Address
First Line	:	15290 SUMMIT AVE STE B
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-0240
Country	:	US
Telephone Number	:	909-225-1900
Fax Number	:	909-663-9072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2016
Last Update Date	:	03/17/2026

Similar Medicare Providers

1467317594 — KWABENA OSEI, MD. INC
Practice Location Address:

15290 SUMMIT AVE STE B
FONTANA, CA
92336-0240

Practice Phone: 909-225-1900
Practice Fax:

1215168653 — IRMGARD UNA TACKIE MD
Practice Location Address:

15290 SUMMIT AVE , SUITE B
FONTANA, CA
92336-0240

Practice Phone: 909-225-1900
Practice Fax:

1427420009 — GOLDSTAR PEDIATRICS PC
Practice Location Address:

15290 SUMMIT AVE , SUITE B
FONTANA, CA
92336-0240

Practice Phone: 909-225-1900
Practice Fax:

1265642052 — JOSE I ARCINIEGA D.O.
Practice Location Address:

16465 SIERRA LAKES PKWY STE 115
FONTANA, CA
92336-1242

Practice Phone: 909-823-8000
Practice Fax: 909-823-8088

1013854694 — JULIUS E. ROQUE
Practice Location Address:

5156 ST ALBERT DR
FONTANA, CA
92336-0635

Practice Phone: 310-484-6920
Practice Fax:

1902742810 — CARING HANDS RESIDENTIAL CARE
Practice Location Address:

7183 HELENA PL
FONTANA, CA
92336-5758

Practice Phone: 909-275-0182
Practice Fax:

Directions to “ CHIOMA ENWEASOR M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.