Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony I Odimegwu

Individual provider Family Nurse Practitioner · NPI 1063938603

Anthony I Odimegwu is a Family Nurse Practitioner in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

26062 Bercaw Ct
Moreno Valley, CA 92555
Phone: (909) 255-5786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95006412 (CA)

Record details

NPI number1063938603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 16, 2017
Last updated in NPPESJuly 21, 2022

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