Josephine Agbowo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A118389 Issued in CA

Practice address

2521 Seminary Ave
Ste 1
Oakland, CA 94605-1307

Phone

(510) 777-1000

Fax

(510) 777-1002

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1457635740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 SEMINARY AVE",
            "address_2": "STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946051307",
            "telephone_number": "510-777-1000",
            "fax_number": "510-777-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SEMINARY AVE",
            "address_2": "STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946051307",
            "telephone_number": "510-777-1000",
            "fax_number": "510-777-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOWO",
        "first_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A118389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi Agarwal, MD, MBBS
• Stella Ifesinachi Agashi
• Michelle Emigh Agazzi, DDS MSD
• Kalu Emeaba Agbaeze I
• Omonivie Hope Agboghidi, MD
• Agesong Inc
• Solomon A. Ageze
• Ritika Aggarwal, LMFT
• Atefeh Aghaei, PHD
• Mania Kavyanpour Aghdasi

• Family Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.