RAPHAEL UGWU
NPI 1073900213
General Practice in Winterhaven, CA

Q: What is Raphael Ugwu's NPI number?

The NPI number for Raphael Ugwu is 1073900213. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is Raphael Ugwu's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Raphael Ugwu was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since April 24, 2015PECOS Enrolled

401 PICACHO ROAD, WINTERHAVEN, CA 92283(760) 572-4100(760) 572-2113 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raphael Ugwu NPPES

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

RAPHAEL UGWU (NPI 1073900213) is an individual general practice provider in Winterhaven, California, licensed in Puerto Rico (13718I) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073900213

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameRAPHAEL UGWU

Location Address401 PICACHO ROADWinterhaven, CA 92283

Mailing AddressPo Box 1368Yuma, AZ 85366-1368 · (760) 572-4100 · Fax (760) 572-2113

Phone(760) 572-4100

Fax(760) 572-2113

Sole ProprietorYes

Enumeration DateApril 24, 2015

Last NPPES UpdateApril 19, 2018

✔ NPI 1073900213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in PR · 13718I✔ Licensed in PR · 19127

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

401 PICACHO ROAD, Winterhaven, CA 92283

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphael Ugwu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN CHAN PHARMD

Pharmacist