Individual provider Active NPI

Genevieve Obianuju Ezennia, FNP

  • Family Nurse Practitioner
  • Templeton, CA
National Provider Identifier
1801362876
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008869 Issued in CA
Practice address
350 Posada LN Ste 102
Templeton, CA 93465-4061
Phone
(805) 434-3699
Fax
(805) 434-4864
NPI assigned
Oct 17, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 95008869 CA Primary

Addresses

Primary practice location

350 Posada LN Ste 102
Templeton, CA 93465-4061

Mailing address

350 Posada LN Ste 102
Templeton, CA 93465-4061
Phone (805) 434-3699

Other names 1

  • Mrs. Genevieve Obianuju Adaobi Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95008869CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reynaldo M. Cordero, M.D, Inc. PastSince Sep 17, 2015 Accepting new patients
Agile Occupational Medicine, PC PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1801362876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654061",
            "telephone_number": "805-434-3699",
            "fax_number": "805-434-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654061",
            "telephone_number": "805-434-3699",
            "fax_number": "805-434-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENNIA",
        "first_name": "GENEVIEVE",
        "middle_name": "OBIANUJU",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "ADAOBI",
            "middle_name": "OBIANUJU",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.