Individual provider Active NPI

Chidozie C Uzor, PA

  • Medical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1720711179
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
61171 Issued in CA
Practice address
9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137
Phone
(310) 278-9171
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 61171 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd Ste 404
Beverly Hills, CA 90210-6137

Mailing address

501 W Olympic Blvd Apt 905
Los Angeles, CA 90015-1451
Phone (619) 591-6969

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
I20220820000182 CA Practitioner - Physician Assistant 1759764913 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MGM Physician Assistant IncGroup PAC ID 5890132096, 9 clinicians

Practice addresses (Care Compare)

Riverside, CA 92507
Phone (310) 619-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61171CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Wound Healing Medical Group Inc. CurrentSince Nov 12, 2025 Accepting new patients
MGM Physician Assistant Inc CurrentSince Jan 28, 2026 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Feb 2, 2026 Accepting new patients
Sinuclear Oregon PC Past Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

1525 3rd St
Ste 205
Riverside, CA 92507
Phone (310) 619-7370

Organizations & group practices 9

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1720711179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OLYMPIC BLVD APT 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151451",
            "telephone_number": "619-591-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106137",
            "telephone_number": "310-278-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOR",
        "first_name": "CHIDOZIE",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.