Individual provider Active NPI

Uchenna Ogbozor, M.D

  • Neonatal-Perinatal Medicine Physician
  • Torrance, CA
National Provider Identifier
1790064913
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A117143 Issued in CA
Practice address
1000 W Carson St
Harbor-UCLA/la Biomed RB-1 Building
Torrance, CA 90502-2004
Phone
(310) 222-1975
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A117143 CA
Neonatal-Perinatal Medicine Physician 2080N0001X 15797 ND
Neonatal-Perinatal Medicine Physician 2080N0001X A117143 CA Primary

Addresses

Primary practice location

1000 W Carson St
Harbor-UCLA/la Biomed RB-1 Building
Torrance, CA 90502-2004

Mailing address

2600 Graham Ave
Redondo Beach, CA 90278-2246
Phone (310) 437-3825

Other practice location 1

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5349

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150127001445 VA Practitioner - Pediatric Medicine 9537483318 Reassigns benefits to 1 organization
I20260603002313 OR Practitioner - Pediatric Medicine 9537483318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117143CAMDNeonatal-Perinatal Medicine Physician
15797NDMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Nov 12, 2014 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Nov 12, 2014 Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients

Locations

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Interoperability endpoints

  • Direct secure messaging: uogbozor1831471@direct.trinity-health.org
  • Direct secure messaging: uogbozor17892@valleychildrens-prd.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Agapeheart Home Health Services LLCLawndale, CA, CCN 559577 Home health agency 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1790064913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GRAHAM AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782246",
            "telephone_number": "310-437-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "HARBOR-UCLA/LA BIOMED RB-1 BUILDING",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5349",
            "fax_number": "701-857-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBOZOR",
        "first_name": "UCHENNA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A117143",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ND",
            "license": "15797",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A117143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.