Individual provider Active NPI

Angela Ijeoma Uba, MD

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1205901154
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FU0058330 Issued in WA
Practice address
7410 E Delaware LN
Vancouver, WA 98664
Phone
(360) 896-5128
Fax
(360) 896-5179
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FU0058330 WA Primary

Addresses

Primary practice location

7410 E Delaware LN
Vancouver, WA 98664

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (206) 764-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000515 OR Practitioner - Family Practice 8527153980 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Apr 1, 2019 Accepting new patients
American Current Care P.a. CurrentSince Apr 1, 2019 Accepting new patients
Uptown Providers Inc CurrentSince Mar 1, 2018 Accepting new patients
Uptown Providers PC CurrentSince Mar 1, 2018 Accepting new patients
Uptown Providers PC Current Accepting new patients
Family Health Centers Past Accepting new patients
Uptown Providers PC Past Accepting new patients
Careoregon Community Health, LLC Family Medicine Past Accepting new patients

Locations

14278 SW Allen Blvd
Beaverton, OR 97005

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

6405 Rosewood St
Ste B
Lake Oswego, OR 97035
Phone (503) 675-7603

12518 NE Airport Way
Ste 110
Portland, OR 97230
Phone (503) 256-2992

25 NW 23rd Pl
Ste 11
Portland, OR 97210
Phone (503) 766-2215

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 8

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1205901154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "206-764-3335",
            "fax_number": "206-764-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 E DELAWARE LN",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-896-5128",
            "fax_number": "360-896-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBA",
        "first_name": "ANGELA",
        "middle_name": "IJEOMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "FU0058330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.