Dorothy Ozoemenam Chudi-Agbaku

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95035973 Issued in CA

Practice address

214 W Alamos Ave Apt 204B
Clovis, CA 93612-3609

Phone

(859) 279-8225

NPI assigned

Jul 14, 2025

Last updated

Jul 14, 2025By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pain Clinics of Central California, Inc.Group PAC ID 0244615086, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Clinics of Central California, Inc.

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1861060733
  Medicare reassignment Care Compare group NPD

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

• 7173 North Sharon Avenue Operating Company, LLC

  dba San Joaquin Valley Rehabilitation Hospital

  • Rehabilitation Hospital
  • Fresno, CA
  • NPI 1831144716

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1740171123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W ALAMOS AVE APT 204B",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123609",
            "telephone_number": "859-279-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W ALAMOS AVE APT 204B",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123609",
            "telephone_number": "859-279-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDI-AGBAKU",
        "first_name": "DOROTHY",
        "middle_name": "OZOEMENAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretta Christa, PHARMD
• Walter W Christa, RPH
• Lynn Christl, L.AC.
• Melissa Chu
• Violet S Chu, RPH
• Rubiyath Chy
• Yareli Cid
• Melissa David Clamor, OTRL
• Mel-Alvin Clarin, PT
• Joan Carmack Clark, NP

• Family Nurse Practitioner in Clovis, CA
• Providers in Clovis, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.