Individual provider Active NPI

Ozioma Amarachi Enworom, NP-C

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1225685902
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011509 Issued in CA
Practice address
8260 Mira Mesa Blvd
San Diego, CA 92126-2662
Phone
(858) 566-3031
NPI assigned
Aug 19, 2019
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011509 CA Primary

Addresses

Primary practice location

8260 Mira Mesa Blvd
San Diego, CA 92126-2662

Mailing address

8260 Mira Mesa Blvd
San Diego, CA 92126-2662

Other practice location 1

2105 N St
8396
Sacramento, CA 95816
Phone (323) 645-5537

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
I20191108001816 CA Practitioner - Nurse Practitioner 6204268428 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mood Clinical, P. C.Group PAC ID 4981080769, 107 clinicians

Practice addresses (Care Compare)

18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95011509CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Oct 1, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc CurrentSince May 1, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc CurrentSince May 1, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Oct 1, 2020 Accepting new patients
Ae Urgent Care - Van Nuys CurrentSince Sep 8, 2023 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
Mood Clinical, P. C. CurrentSince Jun 13, 2024 Accepting new patients
Glenn Medical Center, LLC PastSince Jun 13, 2024 Accepting new patients

Locations

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

8260 Mira Mesa Blvd
San Diego, CA 92126
Phone (858) 566-3031

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3064

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

16300 Roscoe Blvd
Ste A1
Van Nuys, CA 91406
Phone (818) 893-4426

14614 Victory Blvd
Van Nuys, CA 91411
Phone (747) 262-0568

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1225685902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262662",
            "telephone_number": "858-566-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 N ST",
            "address_2": "8396",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95816",
            "country_code": "US",
            "telephone_number": "323-645-5537",
            "fax_number": "747-215-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENWOROM",
        "first_name": "OZIOMA",
        "middle_name": "AMARACHI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.