Individual provider Active NPI

Cletus Chikezie Ogbonna

  • Home Health Aide
  • San Antonio, TX
National Provider Identifier
1174658389
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
11103 San Pedro Ave
Ste 238
San Antonio, TX 78216-3122
Phone
(210) 308-5511
Fax
(210) 308-5522
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 738277 TX
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

11103 San Pedro Ave
Ste 238
San Antonio, TX 78216-3122

Mailing address

11103 San Pedro Ave
Ste 238
San Antonio, TX 78216-3122
Phone (210) 308-5511

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

LicenseStateTypeSpecialty
738277TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
All Your Home Health, Inc. Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174658389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 SAN PEDRO AVE",
            "address_2": "STE 238",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163122",
            "telephone_number": "210-308-5511",
            "fax_number": "210-308-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 SAN PEDRO AVE",
            "address_2": "STE 238",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163122",
            "telephone_number": "210-308-5511",
            "fax_number": "210-308-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "CLETUS",
        "middle_name": "CHIKEZIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "738277",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.