Onyema G Nkwocha, ADMINISTRATOR

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3829 Wild Palms Drive
Modesto, CA 95355

Phone

(209) 567-2766

Fax

(209) 567-2766

NPI assigned

Jan 4, 2021

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

Other names 1

• Mrs. Augusta Nkwocha Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1922696152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 WILD PALMS DRIVE MODESTO",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953555605",
            "telephone_number": "209-567-2766",
            "fax_number": "209-567-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 WILD PALMS DRIVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-567-2766",
            "fax_number": "209-567-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWOCHA",
        "first_name": "ONYEMA",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Modesto",
            "affiliation": "N",
            "endpointDescription": "TANSPORT NON-EMERGENCY WHEELCHAIR VAN",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "AG ADULT RESIDENTIAL CARE HOMES, CALIFORNIA",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953559535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUGUSTA",
            "last_name": "NKWOCHA",
            "prefix": "MRS.",
            "credential": "AG TRANSPORTNONEMERG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rissa Rahmani Putri Nirwandar
• David Dean Nisley, PA-C
• Megan Nix
• Eloh Nfounju Njikam-McGee
• Devon Njoroge
• Shannon Nobles
• Sloane Nokleholm
• Kim A Nolan
• Kenneth E Nolte, P.T.
• Shannon E Nolte

• Non-emergency Medical Transport (VAN) in Modesto, CA
• Providers in Modesto, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.