Individual provider Active NPI

Mba Uzoma Udo Mba, M.D., PH.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • La Jolla, CA
National Provider Identifier
1659720647
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A155048 Issued in CA
Practice address
9898 Genesee Ave # Amp600
La Jolla, CA 92037
Phone
(858) 554-3200
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A155048 CA Primary

Addresses

Primary practice location

9898 Genesee Ave # Amp600
La Jolla, CA 92037

Mailing address

9898 Genesee Ave # Amp600
La Jolla, CA 92037-1205
Phone (858) 554-3200

Other practice location 1

10666 N Torrey Pines Rd
LA Jolla, CA 92037-1027
Phone (858) 554-3200

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
I20190515003432 CA Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Endocrinology 0143563015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Endocrinology, Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Darius a Schneider MD ApcGroup PAC ID 7719396381, 2 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 470
La Jolla, CA 92037-1228
Phone (858) 622-7200

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155048CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darius a Schneider MD Apc CurrentSince Jul 14, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients

Locations

9898 Genesee Ave
#600
La Jolla, CA 92037
Phone (858) 554-3200

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 470
La Jolla, CA 92037
Phone (858) 622-7200

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

8851 Center Dr
Ste 404
La Mesa, CA 91942
Phone (619) 463-1293

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15725 Pomerado Rd
Poway, CA 92064
Phone (858) 451-3110

15525 Pomerado Rd
Ste A1
Poway, CA 92064
Phone (858) 485-0050

10790 Rancho Bernardo Rd
Fl 2
San Diego, CA 92127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: umba34077@sharphealthcare.direct-ci.com
  • Direct secure messaging: mmba21811@scrippshlth.medalliesdirect.net

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1659720647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 GENESEE AVE # AMP600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-554-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 GENESEE AVE # AMP600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-554-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10666 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371027",
            "country_code": "US",
            "telephone_number": "858-554-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBA",
        "first_name": "MBA UZOMA",
        "middle_name": "UDO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A155048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.