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

Mr. Ogbanedi John Abu, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1750655353

Mr. Ogbanedi John Abu, PHYSICIANASSISTANT is a Physician Assistant in Stockton, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

415 W Benjamin Holt Dr
Stockton, CA 95207-3958
Phone: (209) 477-4103
Fax: (209) 477-1065
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22087 (CA)

Record details

NPI number1750655353
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESFebruary 28, 2012

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