Victor Udoh

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95326974 Issued in CA

Practice address

9705 Mesa Oak Dr
Bakersfield, CA 93311-1604

Phone

(860) 922-6539

NPI assigned

Jul 8, 2024

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1801632088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W ORCHARD ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582139",
            "telephone_number": "860-922-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9705 MESA OAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111604",
            "telephone_number": "860-922-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOH",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95326974",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95326974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Tyson, RN
• U.S. Healthworks Medical Group, PC
• Nnaemeka Ubachukwu
• Emefre Oscar-Amanam Udo, MD
• Mary Edem Udoh
• Emem Lawrence Udott, RPH
• Kent Uehara, OD
• Linda Chidera Ugboaja, NP
• Chioma Olivia Ugoh, M.D.
• Evelyn Ulloa

• Psychiatric/Mental Health Registered Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.