NPIMap

Organization Active NPI

Chidi Ukatu, M.D., Inc.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1982872586
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A101948 Issued in CA
Legal business name
CHIDI UKATU, M.D., INC.
Practice address
10521 Ruthelen St
Los Angeles, CA 90047-4341
Phone
(310) 701-8216
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Chidi Jude Ukatu, M.D.
Title
President
Phone
(310) 701-8216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A101948 CA Primary

Addresses

Primary practice location

10521 Ruthelen St
Los Angeles, CA 90047-4341

Mailing address

PO Box 906
Salida, CA 95368-0906
Phone (209) 577-9900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1982872586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953680906",
            "telephone_number": "209-577-9900",
            "fax_number": "209-577-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 RUTHELEN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474341",
            "telephone_number": "310-701-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIDI UKATU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "UKATU",
        "authorized_official_first_name": "CHIDI",
        "authorized_official_middle_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-701-8216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A101948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.