1. Home
  2. Directory
  3. California
  4. Stockton
  5. Physician Assistant
  6. NPI Profile

MR. OGBANEDI JOHN ABU PHYSICIAN ASSISTANT
NPI 1750655353
Physician Assistant in Stockton, CA

Active since February 28, 2012PECOS Enrolled
415 W BENJAMIN HOLT DR, STOCKTON, CA 95207(209) 477-4103(209) 477-1065 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ogbanedi John Abu Physician Assistant NPPES

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

MR. OGBANEDI JOHN ABU PHYSICIAN ASSISTANT (NPI 1750655353) is an individual physician assistant in Stockton, California, licensed in California (PA22087) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750655353
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. OGBANEDI JOHN ABUCredential: PHYSICIAN ASSISTANT
Location Address415 W BENJAMIN HOLT DRStockton, CA 95207-3958
Mailing AddressPo Box 580244Elk Grove, CA 95758-0005 · (209) 472-6624 · Fax (209) 477-1065
Phone(209) 477-4103
Fax(209) 477-1065
Sole ProprietorNo
Enumeration DateFebruary 28, 2012
✔ NPI 1750655353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA22087
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
415 W BENJAMIN HOLT DR, Stockton, CA 95207
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ogbanedi John Abu Physician Assistant 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 95207 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
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROZA RENEE FRAY FNP
Nurse Practitioner (Family)
415 W BENJAMIN HOLT DR, D-2
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
MRS. NANCY J. HEFFERNAN NP
Nurse Practitioner
415 W BENJAMIN HOLT DR, D-4
STOCKTON, CA 95207
San Joaquin County (209) 472-7569
MRS. CAROL ANNE MILLS RN
Registered Nurse
415 W BENJAMIN HOLT DR, D-2
STOCKTON, CA 95207
San Joaquin County (209) 477-4103
CHIO TENG LEI MPH, RD, CNSC
Dietitian, Registered
415 W BENJAMIN HOLT DR
STOCKTON, CA 95207
San Joaquin County (209) 227-0722

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 Ogbanedi Abu's NPI number?

The NPI number for Ogbanedi Abu is 1750655353. It was assigned to this individual provider in the NPPES registry on February 28, 2012.

Where is Ogbanedi Abu located?

Ogbanedi Abu practices at 415 W Benjamin Holt Dr, Stockton, CA 95207. The listed phone number is (209) 477-4103.

What is Ogbanedi Abu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ogbanedi Abu enrolled in Medicare?

Yes. Ogbanedi Abu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ogbanedi Abu was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.