Active NPI
Uche Austine Chukwudi, M.D.
- Family Medicine Physician
- Gardena, CA
National Provider Identifier
1417192063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A105496
- Practice address
- 15425 Crenshaw Blvd
Gardena, CA 90249-4523 - Phone
- (310) 355-1445
- NPI assigned
- Dec 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A105496 | CA | Primary |
Addresses
Primary practice location
15425 Crenshaw Blvd
Gardena, CA 90249-4523
Mailing address
2312 W 134TH PL
Gardena, CA 90249-1644
Phone (213) 595-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Family Medicine Center Inc. | Family Medicine | Current | Accepting new patients |
Locations
15425 Crenshaw Blvd
Gardena, CA 90249
Phone (213) 595-6224
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.
-
- Family Medicine Physician
- Gardena, CA
- NPI 1598095960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1417192063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 W 134TH PL",
"city": "GARDENA",
"state": "CA",
"postal_code": "902491644",
"telephone_number": "213-595-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15425 CRENSHAW BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494523",
"telephone_number": "310-355-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUKWUDI",
"first_name": "UCHE",
"middle_name": "AUSTINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-11",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A105496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.