Individual provider Active NPI

Uju Osagie, OWNER

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1144612805
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95002164 Issued in CA
Practice address
901 H St Ste 120
Sacramento, CA 95814-1817
Phone
(818) 212-9369
Fax
(818) 212-9370
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002164 CA
Primary Care Nurse Practitioner 363LP2300X 95002164 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95002164 CA Primary
Adult Health Nurse Practitioner 363LA2200X 95002164 CA

Addresses

Primary practice location

901 H St Ste 120
Sacramento, CA 95814-1817

Mailing address

PO Box 7982
Porter Ranch, CA 91327-7982
Phone (818) 212-9369

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
I20160427001316 CA Practitioner - Nurse Practitioner 6901105899 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. Single Specialty CurrentSince May 16, 2016 Accepting new patients
Serenity Wellness Nursing Practice Inc Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Albion Medical Partners of California West P C Single Specialty CurrentSince Feb 1, 2021 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. PastSince May 16, 2016 Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

14901 Rinaldi St
Ste 200201
Mission Hills, CA 91345
Phone (818) 365-8553

19843 Nordhoff St
Ste 103
Northridge, CA 91324
Phone (818) 212-9369

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

901 H St
Ste 120
Sacramento, CA 95814
Phone (818) 212-9371

Interoperability endpoints

  • Direct secure messaging: uju.osagie.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: uju.osagie.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 4

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1144612805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7982",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913277982",
            "telephone_number": "818-212-9369",
            "fax_number": "818-212-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 H ST STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141817",
            "telephone_number": "818-212-9369",
            "fax_number": "818-212-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGIE",
        "first_name": "UJU",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002164",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95002164",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002164",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95002164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.