Provider Demographics
NPI:1285413849
Name:UCHE, AMARA NWAMAKA
Entity type:Individual
Prefix:
First Name:AMARA
Middle Name:NWAMAKA
Last Name:UCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMARA
Other - Middle Name:NWAMAKA
Other - Last Name:ARINZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1939 ORFANOS RANCH DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2479
Mailing Address - Country:US
Mailing Address - Phone:469-655-9201
Mailing Address - Fax:
Practice Address - Street 1:2633 E 27TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1912
Practice Address - Country:US
Practice Address - Phone:510-536-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95395858163W00000X
CAY4705018172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No172V00000XOther Service ProvidersCommunity Health Worker