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CHINENYE DEBORAH UDOH
NPI 1043713217
Nurse Practitioner - Family in Whittier, CA

Active since March 14, 2018PECOS Enrolled
11801 LA SERNA DR, WHITTIER, CA 90604(310) 999-5410 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Apr 10, 2023, Mar 14, 2018 (3 updates tracked since 2018).

About Chinenye Deborah Udoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINENYE DEBORAH UDOH (NPI 1043713217) is an individual family provider in Whittier, California, licensed in California (95010048) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043713217
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHINENYE DEBORAH UDOH
Location Address11801 LA SERNA DRWhittier, CA 90604-3250
Mailing Address11801 La Serna DrWhittier, CA 90604-3250
Phone(310) 999-5410
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1043713217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95010048
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95010048 (CA)
11801 LA SERNA DR, Whittier, CA 90604
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chinenye Deborah Udoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961974209
PECOS Enrollment IDI20260617002568
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chinenye Udoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
321 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chinenye Udoh's NPI number?

The NPI number for Chinenye Udoh is 1043713217. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Chinenye Udoh located?

Chinenye Udoh practices at 11801 La Serna Dr, Whittier, CA 90604. The listed phone number is (310) 999-5410.

What is Chinenye Udoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chinenye Udoh enrolled in Medicare?

Yes. Chinenye Udoh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chinenye Udoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chinenye Udoh reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chinenye Udoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chinenye Udoh was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.