MR. ANTHONY OGBODO
NPI 1063884625
Nurse Practitioner - Family in Tracy, CA
About Mr. Anthony Ogbodo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANTHONY OGBODO (NPI 1063884625) is an individual family provider in Tracy, California, licensed in California (95002864) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Anthony Ogbodo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Anthony Ogbodo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tracy, CA 95304
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRACY, CA 95304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anthony Ogbodo's NPI number?
The NPI number for Anthony Ogbodo is 1063884625. It was assigned to this individual provider in the NPPES registry on October 22, 2015.
Where is Anthony Ogbodo located?
Anthony Ogbodo practices at 2471 North Naglee Road Suite 100 #1037, Tracy, CA 95304. The listed phone number is (510) 755-3004.
What is Anthony Ogbodo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anthony Ogbodo enrolled in Medicare?
Yes. Anthony Ogbodo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anthony Ogbodo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Ogbodo reassigns Medicare benefits to Tri Valley Care Telehealth & Telemedicine Inc (Tracy, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Ogbodo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anthony Ogbodo was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Anthony Ogbodo · NPI 1063884625
Family physician in Tracy, California. Individual provider, active in the CMS NPPES registry since October 22, 2015.
## Identity
- **NPI:** 1063884625 (Entity type: Individual)
- **Enumerated:** October 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002864 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2471 NORTH NAGLEE ROAD, SUITE 100 #1037, Tracy, CA 95304-3519
- **Phone:** (510) 755-3004
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tri Valley Care Telehealth & Telemedicine Inc (NPI 1588551808, Tracy, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063884625) · Data from the CMS NPPES public registry.