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

Grace A Ogungbile, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922800804

Grace A Ogungbile, MD is a Student in an Organized Health Care Education/Training Program in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5784
Phone: (707) 583-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PTL18751 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922800804
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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