Individual provider Active NPI

Victor Uzoma Nwaoha, AGNP-C

  • Primary Care Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1376418327
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95036782 Issued in CA
Practice address
10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239
Phone
(209) 953-3700
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95036782 CA Primary

Addresses

Primary practice location

10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239

Mailing address

10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239
Phone (209) 953-3700

Other practice location 1

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 953-3700

Other practice location 2

283 Spreckels Ave
Manteca, CA 95336-6005
Phone (202) 953-3700

Other practice location 3

1414 N California St
Stockton, CA 95202-1515
Phone (209) 953-3700

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
I20251211001304 CA Practitioner - Nurse Practitioner 1456845999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Hospital Rd
French Camp, CA 95231-9693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95036782CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Dec 1, 2025 Accepting new patients
County of San Joaquin CurrentSince Dec 1, 2025 Accepting new patients
County of San Joaquin Current Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

500 W Hospital Rd
Ste A
French Camp, CA 95231
Phone (209) 468-6820

283 Spreckels Ave
Manteca, CA 95336
Phone (209) 953-3451

10100 Trinity Pkwy
Ste 100
Stockton, CA 95219
Phone (209) 953-3700

Organizations & group practices 3

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1376418327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 TRINITY PKWY STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197239",
            "telephone_number": "209-953-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 TRINITY PKWY STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197239",
            "telephone_number": "209-953-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319693",
            "country_code": "US",
            "telephone_number": "209-953-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 Spreckels Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953366005",
            "country_code": "US",
            "telephone_number": "202-953-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021515",
            "country_code": "US",
            "telephone_number": "209-953-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAOHA",
        "first_name": "VICTOR",
        "middle_name": "UZOMA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95036782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.