Active NPI
Oke Augustine Umeugoji
- Family Nurse Practitioner
- Tracy, CA
National Provider Identifier
1013368208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002975
- Practice address
- 2172 Tennis LN
Tracy, CA 95377-1166 - Phone
- (510) 750-6440
- NPI assigned
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95002975 | CA | Primary |
Addresses
Primary practice location
2172 Tennis LN
Tracy, CA 95377-1166
Mailing address
2172 Tennis LN
Tracy, CA 95377-1166
Phone (510) 750-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002975 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1013368208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 TENNIS LN",
"city": "TRACY",
"state": "CA",
"postal_code": "953771166",
"telephone_number": "510-750-6440",
"fax_number": "510-485-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 TENNIS LN",
"city": "TRACY",
"state": "CA",
"postal_code": "953771166",
"telephone_number": "510-750-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMEUGOJI",
"first_name": "OKE",
"middle_name": "AUGUSTINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.