Individual provider Active NPI

Ugochi Amara Waturuocha, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1104342898
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11501 Issued in TX
Practice address
5602 Presidio Pkwy Apt 1425
San Antonio, TX 78249-3094
Phone
(832) 788-0006
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11501 TX Primary

Addresses

Primary practice location

5602 Presidio Pkwy Apt 1425
San Antonio, TX 78249-3094

Mailing address

5602 Presidio Pkwy Apt 1425
San Antonio, TX 78249-3094
Phone (832) 788-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113002618 TX Practitioner - Physician Assistant 7012261969 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

1310 W Exchange Pkwy
Suite 100
Allen, TX 75013-7025
Phone (972) 678-4545

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Apr 13, 2021 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1104342898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 PRESIDIO PKWY APT 1425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493094",
            "telephone_number": "832-788-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 PRESIDIO PKWY APT 1425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493094",
            "telephone_number": "832-788-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATURUOCHA",
        "first_name": "UGOCHI",
        "middle_name": "AMARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.