Individual provider Active NPI

Laura Rene Oglesby, ACNPC-AG

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1639850423
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026731 Issued in CA
Practice address
416 Broadway
Chula Vista, CA 91910-4304
Phone
(619) 427-1144
Fax
(619) 427-1185
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026731 CA Primary

Addresses

Primary practice location

416 Broadway
Chula Vista, CA 91910-4304

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117004885 CA Practitioner - Nurse Practitioner 4385096031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

Practice addresses (Care Compare)

416 Broadway
Chula Vista, CA 91910-4304
Phone (619) 427-1144

655 Euclid Ave
Suite 303
National City, CA 91950-2975
Phone (619) 475-4900

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

Hospital & facility affiliations

  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Dec 16, 2024 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Dec 16, 2024 Accepting new patients

Locations

752 Medical Center Ct
Ste 302
Chula Vista, CA 91911
Phone (619) 397-4500

416 Broadway
Chula Vista, CA 91910
Phone (619) 427-1144

855 Third Ave
Ste 2210
Chula Vista, CA 91911
Phone (619) 641-0388

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: loglesby69989@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1639850423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104304",
            "telephone_number": "619-427-1144",
            "fax_number": "619-427-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "LAURA",
        "middle_name": "RENE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.