Individual provider Active NPI

Amaechi George Ozor, FNP

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1821563073
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010238 Issued in CA
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

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010238CAMDPain Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affection Health Care LLC Pain CurrentSince Apr 20, 2025 Accepting new patients
Affection Health Care, a Professional Nursing Corporation Pain CurrentSince Apr 1, 2025 Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 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.

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

Verify at the official NPI Registry.