Ekaete Daniel Udoh, PA - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Phone

(619) 532-5553

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dymphna San Diego TMS IncGroup PAC ID 7517389018, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.04 of 100Reported as group

Quality

10

Improvement activities

40

Cost

50.15

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dymphna San Diego TMS Inc

  • Psychiatry Physician
  • Chula Vista, CA
  • NPI 1255951620
  Medicare reassignment Care Compare group
• Pacific Health Systems, L.P.

  • Psychiatry Physician
  • National City, CA
  • NPI 1669486429
  Medicare reassignment
• Yashwant Chaudhri MD a Prof Corp

  • Psychiatry Physician
  • Santee, CA
  • NPI 1881705127
  Medicare reassignment
• Advanced TMS Clinic Inc

  • Clinic/Center
  • National City, CA
  • NPI 1386104263
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1841472776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 UTAH ST UNIT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921047929",
            "telephone_number": "619-857-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8772 Cuyamaca St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714207",
            "country_code": "US",
            "telephone_number": "619-258-6730",
            "fax_number": "619-448-8586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOH",
        "first_name": "EKAETE",
        "middle_name": "DANIEL",
        "credential": "PA - C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poulina Qazi Uddin, MD
• Onyinyeh R. Udeh
• Sarah Udeh
• Christopher James Udell, PHD
• Kerry Udo, M.A., BCBA
• Mike Onu Udoh, MD
• Nawarat Udomphonkul, PHARMD
• Marina Udowenko, D. O.
• Kimberly Jean Uecker
• Noriko Ueda-Lang, DACM

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.