Individual provider Active NPI

Stefanie Woantzu Tang Uechi, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1114355096
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23541 Issued in CA
Practice address
1399 Roxbury Dr Ste 100
Los Angeles, CA 90035-4709
Phone
(310) 557-2273
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23541 CA Primary

Addresses

Primary practice location

1399 Roxbury Dr Ste 100
Los Angeles, CA 90035-4709

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8771

Other practice location 1

10833 Le Conte Ave # Be-353
Los Angeles, CA 90095-4607
Phone (310) 825-5225

Other practice location 2

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-5600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140122001475 CA Practitioner - Nurse Practitioner 4486882339 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Current Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2021 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2021 Accepting new patients
UC Regents CurrentSince Dec 1, 2023 Accepting new patients
The Regents of the University of California CurrentSince Nov 1, 2023 Accepting new patients
The Regents of the University of California CurrentSince Nov 1, 2023 Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 UCLA Medical Plz
Ste 120
Los Angeles, CA 90095
Phone (310) 206-6909

200 UCLA Medical Plz
Ste B2651
Los Angeles, CA 90095
Phone (310) 267-9099

1399 Roxbury Dr
Ste 100
Los Angeles, CA 90035
Phone (310) 557-2273

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

10833 Le Conte Ave
#353
Los Angeles, CA 90095
Phone (310) 825-5225

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

892 Aerovista Pl
Ste 210
San Luis Obispo, CA 93401
Phone (805) 549-8023

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: suechi22257@direct.uclahealth.org

Organizations & group practices 10

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1114355096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 ROXBURY DR STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354709",
            "telephone_number": "310-557-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave # Be-353",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900954607",
            "country_code": "US",
            "telephone_number": "310-825-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Torrance Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034607",
            "country_code": "US",
            "telephone_number": "310-540-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UECHI",
        "first_name": "STEFANIE",
        "middle_name": "WOANTZU TANG",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.