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CHINENYENWA SOFIA ANUGWOM
NPI 1619406063
Family Medicine in San Joaquin, CA

Active since June 08, 2017PECOS Enrolled
4711 W. ASHLAN AVE, SAN JOAQUIN, CA 93660(559) 203-6640 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Feb 10, 2021, Jun 8, 2017 (3 updates tracked since 2017).

About Chinenyenwa Sofia Anugwom NPPES

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

CHINENYENWA SOFIA ANUGWOM (NPI 1619406063) is an individual family medicine provider in San Joaquin, California, licensed in California (A165415) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619406063
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHINENYENWA SOFIA ANUGWOM
Location Address4711 W. ASHLAN AVESan Joaquin, CA 93660
Mailing AddressPo Box 737San Joaquin, CA 93660-0737 · (559) 203-6640
Phone(559) 203-6640
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1619406063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A165415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4711 W. ASHLAN AVE, San Joaquin, CA 93660
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chinenyenwa Sofia Anugwom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims3,545 services$0.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$26.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Chinenyenwa Anugwom's NPI number?

The NPI number for Chinenyenwa Anugwom is 1619406063. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Chinenyenwa Anugwom located?

Chinenyenwa Anugwom practices at 4711 W. Ashlan Ave, San Joaquin, CA 93660. The listed phone number is (559) 203-6640.

What is Chinenyenwa Anugwom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chinenyenwa Anugwom enrolled in Medicare?

Yes. Chinenyenwa Anugwom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chinenyenwa Anugwom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.