Individual provider Active NPI

Robert Uichanco

  • Primary Care Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1124905062
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95036525 Issued in CA
Practice address
227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856
Phone
(805) 449-4278
Fax
(805) 449-4277
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95171145 CA
Primary Care Nurse Practitioner 363LP2300X 95036525 CA Primary

Addresses

Primary practice location

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856

Mailing address

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856
Phone (805) 449-4278

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
I20251009002604 CA Practitioner - Nurse Practitioner 6103323662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 W Janss Rd
Suite 125
Thousand Oaks, CA 91360-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95171145CAMDRegistered Nurse
95036525CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Desai MD Inc CurrentSince Sep 11, 2025 Accepting new patients

Locations

227 W Janss Rd
Ste 125
Thousand Oaks, CA 91360
Phone (805) 242-4884

227 W Janss Rd
Ste 315
Thousand Oaks, CA 91360
Phone (805) 390-9974

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBA

Organizations & group practices 1

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1124905062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601856",
            "telephone_number": "805-449-4278",
            "fax_number": "805-449-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601856",
            "telephone_number": "805-449-4278",
            "fax_number": "805-449-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UICHANCO",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95171145",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95036525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.