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ANTHONY I ODIMEGWU
NPI 1063938603
Nurse Practitioner - Family in Moreno Valley, CA

Active since August 16, 2017
26062 BERCAW CT, MORENO VALLEY, CA 92555(909) 255-5786 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About Anthony I Odimegwu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY I ODIMEGWU (NPI 1063938603) is an individual family provider in Moreno Valley, California, licensed in California (95006412) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1063938603
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY I ODIMEGWU
Location Address26062 BERCAW CTMoreno Valley, CA 92555
Mailing Address26062 Bercaw CtMoreno Valley, CA 92555-1702 · (909) 255-5786
Phone(909) 255-5786
Sole ProprietorYes
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1063938603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006412
26062 BERCAW CT, Moreno Valley, CA 92555
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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 Odimegwu's NPI number?

The NPI number for Anthony Odimegwu is 1063938603. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Anthony Odimegwu located?

Anthony Odimegwu practices at 26062 Bercaw Ct, Moreno Valley, CA 92555. The listed phone number is (909) 255-5786.

What is Anthony Odimegwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Anthony Odimegwu was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.