Organization Active NPI

Rooark Mental Health & Wellness a Physician Assistant Corporation

  • Psychiatry Physician
  • National City, CA
National Provider Identifier
1770439788
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROOARK MENTAL HEALTH & WELLNESS A PHYSICIAN ASSISTANT CORPORATION
Practice address
502 Euclid Ave Ste 202
National City, CA 91950-2985
Phone
(707) 684-0740
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Ekaete Udoh, PA
Title
Ceo
Phone
(707) 684-0740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

502 Euclid Ave Ste 202
National City, CA 91950-2985

Mailing address

502 Euclid Ave Ste 202
National City, CA 91950-2985

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1770439788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 202",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 202",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502985",
            "telephone_number": "707-684-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOARK MENTAL HEALTH & WELLNESS A PHYSICIAN ASSISTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "EKAETE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-684-0740",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.