Individual provider Active NPI

Uchenna G Orji, FNP-C

  • Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1457770836
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000577 Issued in CA
Practice address
24853 Alessandro Blvd, #4
Moreno Valley, CA 92553-6102
Phone
(951) 571-8518
Fax
(877) 778-9427
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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 NP95000577 CA
Nurse Practitioner 363L00000X 95000577 CA Primary

Addresses

Primary practice location

24853 Alessandro Blvd, #4
Moreno Valley, CA 92553-6102

Mailing address

200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Other identifiers 1

IdentifierTypeStateIssuer
P01490861OtherCARAILROAD MEDICARE-DU4034

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
I20150617002610 CA Practitioner - Nurse Practitioner 8325004880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6860 Brockton Ave
Suite 5
Riverside, CA 92506-3816
Phone (951) 462-1096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95000577CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Integrated Medical & Behavioral Health CurrentSince Nov 15, 2022 Accepting new patients
Archis Desai MD Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

770 Magnolia Ave
Ste 2K
Corona, CA 92879
Phone (909) 736-6806

9161 Sierra Ave
Ste 114
Fontana, CA 92335
Phone (909) 966-5500

1011 E Devonshire Ave
Ste 200
Hemet, CA 92543
Phone (909) 966-5500

13800 Heacock St
Ste C114
Moreno Valley, CA 92553
Phone (909) 966-5500

1030 Nevada St
Ste 101
Redlands, CA 92374
Phone (909) 362-3727

9041 Magnolia Ave
Ste 201
Riverside, CA 92503
Phone (909) 784-3380

6860 Brockton Ave
Ste 5
Riverside, CA 92506
Phone (951) 462-1096

2131 Elks Dr
Ste 104
Sn Bernrdno, CA 92404
Phone (909) 966-5500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1457770836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "877-778-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24853 ALESSANDRO BLVD, #4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536102",
            "telephone_number": "951-571-8518",
            "fax_number": "877-778-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORJI",
        "first_name": "UCHENNA",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95000577",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-DU4034",
            "identifier": "P01490861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.