Individual provider Active NPI

Uchenna Winifred Onwuli, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Carson, CA
National Provider Identifier
1326412768
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008138 Issued in CA
Practice address
20014 Camba Ave
Carson, CA 90746-2908
Phone
(323) 336-3418
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008138 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022002466 CA

Addresses

Primary practice location

20014 Camba Ave
Carson, CA 90746-2908

Mailing address

20014 Camba Ave
Carson, CA 90746-2908
Phone (323) 336-3418

Other names 1

  • Miss Uchenna Winifred Onyia Professional name

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
I20180910001917 CA Practitioner - Nurse Practitioner 2062762255 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022002466CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osher Resources Inc CurrentSince Aug 4, 2018 Accepting new patients

Locations

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1326412768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 CAMBA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462908",
            "telephone_number": "323-336-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 CAMBA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462908",
            "telephone_number": "323-336-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWULI",
        "first_name": "UCHENNA",
        "middle_name": "WINIFRED",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008138",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2022002466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UCHENNA",
            "last_name": "ONYIA",
            "middle_name": "WINIFRED",
            "prefix": "MISS",
            "credential": "1. FNP AND PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.