Physician Assistant
Mr. OGBANEDI ABU Physician Assistant
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750655353 · enumerated 2012-02-28 · record updated 2012-02-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 580244, ELK GROVE, CA, 95758-0005 (209) 472-6624 Fax (209) 477-1065 Google Maps Apple Maps OpenStreetMap
- Practice location 415 W BENJAMIN HOLT DR, STOCKTON, CA, 95207-3958 (209) 477-4103 Fax (209) 477-1065 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA22087 CA
In this directory
Locations and evidence
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Practice location
STOCKTON, CA, 952073958
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.