AFOMA C MBANUGO FNP
NPI 1275262396
Nurse Practitioner - Family in Antioch, CA
About Afoma C Mbanugo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFOMA C MBANUGO FNP (NPI 1275262396) is an individual family provider in Antioch, California, licensed in California (NP95019990) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Afoma C Mbanugo Fnp 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 Afoma Mbanugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 94531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANTIOCH, CA 94531
ANTIOCH, CA 94531
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 Afoma Mbanugo's NPI number?
The NPI number for Afoma Mbanugo is 1275262396. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Afoma Mbanugo located?
Afoma Mbanugo practices at 4501 Sand Creek Rd, Antioch, CA 94531. The listed phone number is (925) 813-6500.
What is Afoma Mbanugo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Afoma Mbanugo enrolled in Medicare?
Yes. Afoma Mbanugo 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 Afoma Mbanugo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Afoma Mbanugo reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Afoma Mbanugo'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 Afoma Mbanugo was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Afoma C Mbanugo, FNP · NPI 1275262396
Family physician in Antioch, California. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1275262396 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95019990 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4501 SAND CREEK RD, Antioch, CA 94531-8687
- **Phone:** (925) 813-6500
## 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:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 13, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1275262396) · Data from the CMS NPPES public registry.