Njideka Obioma Anazodo

Individual provider Active NPI Rehabilitation Practitioner · Grand Terrace, CA

NPI 1245161983 · NPPES record last updated May 28, 2026

Key facts

NPI
1245161983
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
22365 Barton Rd
Grand Terrace, CA 92313-5015
Phone
(909) 370-2858
NPI assigned
May 28, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

22365 Barton Rd
Grand Terrace, CA 92313-5015

Mailing address

1225 Walin St
Colton, CA 92324-4606

Other providers in Grand Terrace, CA

All providers in Grand Terrace, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.