PRINCE C ESIOBU (MD) – Vascular Surgery Physician, NPI 1023329638

PRINCE C ESIOBU (MD) is a healthcare provider. based in Anaheim, California. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. A156386 (CA). The NPI Number for PRINCE C ESIOBU (MD) is 1023329638

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
PRINCE C ESIOBU (MD)
NPI
1023329638
Phone
(909) 793-3954
Address
PO BOX 27670
Enumeration Date
29 June 2010
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
9512481291
Graduation Year
2010 (16 years ago)
PAC ID
3779885942
Group Practice PAC ID
5092604447
Professional Enrollment ID
I20181207000568
Address ID
CA925062918RI4334XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

Provider Addresses for PRINCE C ESIOBU (MD)

  • PO BOX 27670

    ANAHEIM, CA 928090122

    Phone: (909) 793-3954

    Type: Mailing

  • 255 TERRACINA BLVD STE 104B

    REDLANDS, CA 923734870

    Phone: (323) 788-2794

    Type: Location

  • PO BOX 2828

    CORONA, CA 928782828

    Phone: (951) 278-8870

    Type: Mailing

  • 7300 MAGNOLIA AVE

    RIVERSIDE, CA 925043849

    Phone: (951) 278-8870

    Type: Location

  • 4334 Central Ave

    Riverside, CA 925062918

    Phone: (951) 248-1291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $913.

Total Amount is formed as General ($913) + Research ($0) + Ownership ($0) = $913.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($463).

Total Amount

$913

General + Research + Ownership

Payments

30

Total payment records

General Amount

$913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181207000568IVascular SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes5444$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99214Established patient office or other outpatient visit, 30-39 minutes3127$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 92809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092604447View full group profile
NameSpecialtyState
Nephrology, Internal MedicineNY
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic Radiology, Interventional RadiologyMA
-CA
-CA
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineCA
N E P H R O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for PRINCE C ESIOBU (MD)?
PRINCE C ESIOBU (MD) — NPI 1023329638 — is the standard way to identify this listing.
Does the file indicate PRINCE C ESIOBU (MD) is practicing under active NPI?
Directory data currently reports PRINCE C ESIOBU (MD) as active.
What is PRINCE C ESIOBU (MD)'s primary classification?
Vascular Surgery Physician is the headline specialty for PRINCE C ESIOBU (MD) here. Clinical services aligned with this taxonomy classification.
Where is PRINCE C ESIOBU (MD) based?
PRINCE C ESIOBU (MD) is tied to Anaheim, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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