Active NPI
Rosekate Ugorji
- Psychiatric/Mental Health Nurse Practitioner
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95012684
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1800
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 578627 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95012684 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1800
Other practice location 1
1809 W Redlands Blvd # 103
Redlands, CA 92373-8054
Phone (909) 335-3026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200123000926 | CA | Practitioner - Nurse Practitioner | 7911332804 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ehab Yacoub MD IncInland Psychiatric Medical Group Inc
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
73700 Dinah Shore Dr
Suite 106
Palm Desert, CA 92211-0815
Phone (760) 832-6352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578627 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Ehab Yacoub MD Inc. | Current | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
1809 W Redlands Blvd
#103
Redlands, CA 92373
Phone (951) 990-0409
2033 Gateway Pl
Fl 5
San Jose, CA 95110
Phone (408) 856-9066
3031 Tisch Way
Ste 110
San Jose, CA 95128
Phone (669) 200-4619
3031 Tisch Way
San Jose, CA 95128
Phone (408) 260-0208
56970 Yucca Trl
Ste 104
Yucca Valley, CA 92284
Phone (760) 365-3711
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
CA, Psychiatric/Mental Health
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1043481922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1800"
}
],
"practiceLocations": [
{
"address_1": "1809 W Redlands Blvd # 103",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923738054",
"country_code": "US",
"telephone_number": "909-335-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UGORJI",
"first_name": "ROSEKATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "578627",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95012684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.