Individual provider Active NPI

Ifeoma L Ugochukwu, M.D.

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1336524412
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A132154 Issued in CA
Practice address
23890 Copper Hill Dr Ste 160
Valencia, CA 91354-1701
Phone
(818) 613-7158
NPI assigned
Jul 30, 2015
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A132154 CA Primary

Addresses

Primary practice location

23890 Copper Hill Dr Ste 160
Valencia, CA 91354-1701

Mailing address

23890 Copper Hill Dr Ste 160
Valencia, CA 91354-1701
Phone (818) 613-7158

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000868 CA Practitioner - Internal Medicine 6800104399 Reassigns benefits to 1 organization
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132154CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Dixon Family Health Center, Inc CurrentSince Jul 29, 2025 Accepting new patients
Newhall Health Center Past Accepting new patients

Locations

27225 Camp Plenty Rd
Ste 4
Canyon Country, CA 91351
Phone (661) 424-1220

23772 Newhall Ave
Newhall, CA 91321
Phone (661) 291-1777

30257 San Martinez Rd
Val Verde, CA 91384
Phone (661) 257-4008

25115 Avenue Stanford
#A104
Valencia, CA 91355
Phone (661) 257-2339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 2

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1336524412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23890 COPPER HILL DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "818-613-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23890 COPPER HILL DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541701",
            "telephone_number": "818-613-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOCHUKWU",
        "first_name": "IFEOMA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A132154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.