Individual provider Active NPI

Patricia Ogude

  • Psychiatric/Mental Health Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1407318355
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1028197 Issued in TX
Practice address
1100 S Grove Ave # 7
Ontario, CA 91761-4572
Phone
(909) 673-0099
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered Nurse 163WD1100X 95028349 CA
Hemodialysis Registered Nurse 163WH0500X 95028349 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1028197 TX Primary

Addresses

Primary practice location

1100 S Grove Ave # 7
Ontario, CA 91761-4572

Mailing address

11660 Church St Apt 570
Rancho Cucamonga, CA 91730-0502
Phone (404) 468-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1028197TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1407318355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 CHURCH ST APT 570",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300502",
            "telephone_number": "404-468-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S GROVE AVE # 7",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614572",
            "telephone_number": "909-673-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUDE",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "CA",
            "license": "95028349",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "CA",
            "license": "95028349",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1028197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.