Active NPI
Amaechi George Ozor, FNP
- Family Nurse Practitioner
- Modesto, CA
National Provider Identifier
1821563073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010238
- Practice address
- 1620 N Carpenter Rd Ste D46
Modesto, CA 95351-1161 - Phone
- (350) 216-5774
- Fax
- (209) 353-0479
- NPI assigned
- Oct 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95051033 | CA | |
| Pain Management Registered Nurse | 163WP0000X | 95010238 | CA | |
| Pain Clinic/Center | 261QP3300X | 95010238 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95010238 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95010238 | CA | |
| Occupational Health Nurse Practitioner | 363LX0106X | 95010238 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95010238 | CA | Primary |
Addresses
Primary practice location
1620 N Carpenter Rd Ste D46
Modesto, CA 95351-1161
Mailing address
1620 N Carpenter Rd Ste D46
Modesto, CA 95351-1161
Phone (350) 216-5774
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190604002585 | CA | Practitioner - Nurse Practitioner | 7911230008 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Modesto, CA 95351
Phone (949) 514-8188
2929 Floyd Ave
Apt 364
Modesto, CA 95355-8765
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.24 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010238 | CA | MD | Pain Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affection Health Care LLC | Pain | Current | Accepting new patients |
| Affection Health Care, a Professional Nursing Corporation | Pain | Current | Accepting new patients |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Past | Accepting new patients | |
| Lags Spine and Sportscare Medical Centers, Inc. | Past | Accepting new patients |
Locations
1620 N Carpenter Rd
Ste D46
Modesto, CA 95351
Phone (350) 216-5774
Organizations & group practices 4
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.
-
- Pain Clinic/Center
- Modesto, CA
- NPI 1457207110
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hayward, CA
- NPI 1962983965
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1821563073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE D46",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511161",
"telephone_number": "350-216-5774",
"fax_number": "209-353-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE D46",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511161",
"telephone_number": "350-216-5774",
"fax_number": "209-353-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZOR",
"first_name": "AMAECHI",
"middle_name": "GEORGE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95051033",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "CA",
"license": "95010238",
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "CA",
"license": "95010238",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95010238",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95010238",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "95010238",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.