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

Mr. Anthony Ogbodo

Individual provider Family Nurse Practitioner · NPI 1063884625

Mr. Anthony Ogbodo is a Nurse Practitioner in Tracy, California. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

2471 N Naglee Rd Ste 100 #1037
Tracy, CA 95304-3519
Phone: (510) 755-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Embarcadero Ctr, San Francisco, CA 94111-3823 — (888) 663-6331

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95002864 (CA)

Record details

NPI number1063884625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2015
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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