Kenechukwu B Udoh, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A166463 Issued in CA

Practice address

38600 Medical Center Dr
Palmdale, CA 93551-4483

Phone

(661) 382-5000

Fax

(770) 701-6811

NPI assigned

Mar 31, 2015

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Anesthesiology

Education

Medical College of Wisconsin, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmdale Anesthesia, IncGroup PAC ID 4385082734, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palmdale Anesthesia, Inc

  • Anesthesiology Physician
  • Palmdale, CA
  • NPI 1205698115
  Medicare reassignment Care Compare group NPD
• Burbank Anesthesia Associates a Professional Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Burbank, CA
  • NPI 1699201723
  Medicare reassignment NPD
• Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1790401438
  Medicare reassignment NPD
• Spiritus Home Healthcare Inc

  dba Royal Congregate Living Facility

  • Adult Care Home Facility
  • Lancaster, CA
  • NPI 1417343435
  NPD Authorized official
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Laguna Hills, CA
  • NPI 1861373631
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1386039931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 KLING ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041126",
            "telephone_number": "661-313-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 MEDICAL CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514483",
            "telephone_number": "661-382-5000",
            "fax_number": "770-701-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 Kling St",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916041126",
            "country_code": "US",
            "telephone_number": "661-313-9388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Mildwood Ct",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935364740",
            "country_code": "US",
            "telephone_number": "661-313-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOH",
        "first_name": "KENECHUKWU",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A166463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twain Dialysis LLC (Palmdale Fifth Street Dialysis)
• Erin Tyzbir, PTA
• U.S. Desilva MD, a Medical
• Aileen Ubando
• Ucfusion RX LLC
• Omar Syed Ullah, MSN, APRN, FNP-BC
• Berenice Ulloa, MSW
• Jessica Andrea Ulloa, B.A
• Ricardo Ulloa
• Ultra Care Plus Inc

• Anesthesiology Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.