Active NPI
Anthony Ogbodo
- Family Nurse Practitioner
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002864
- Practice address
- 2471 North Naglee Road
Suite 100 #1037
Tracy, CA 95304-3519 - Phone
- (510) 755-3004
- NPI assigned
- Oct 22, 2015
- 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 | 95002864 | CA | Primary |
Addresses
Primary practice location
2471 North Naglee Road
Suite 100 #1037
Tracy, CA 95304-3519
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331
Other practice location 1
2 Embarcadero Ctr
San Francisco, CA 94111-3823
Phone (888) 663-6331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1409 N Tracy Blvd
Tracy, CA 95376-3445
Phone (209) 509-4116
8801 Ranch Rd
Tracy, CA 95304-8116
Phone (209) 509-4116
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79645 | CA | MD | Pharmacist |
| 95002864 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Valley Care Telehealth & Telemedicine Inc | Family | Current | Accepting new patients |
Locations
2471 Naglee Rd
Ste 100
Tracy, CA 95304
Phone (209) 509-4116
1409 N Tracy Blvd
Tracy, CA 95376
Phone (209) 509-4116
Interoperability endpoints
- anthony.ogbodo.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Tracy, CA
- NPI 1588551808
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1063884625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "888-663-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 NORTH NAGLEE ROAD",
"address_2": "SUITE 100 #1037",
"city": "TRACY",
"state": "CA",
"postal_code": "953043519",
"telephone_number": "510-755-3004"
}
],
"practiceLocations": [
{
"address_1": "2 Embarcadero Ctr",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941113823",
"country_code": "US",
"telephone_number": "888-663-6331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGBODO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002864",
"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 Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.