Chinenyenwa Sofia Anugwom, is a medicare enrolled "Family Medicine" physician in San Joaquin, California. Her current practice location is
4711 W. Ashlan Ave, San Joaquin, California. You can reach out to her office (for appointments etc.) via phone at
(559) 203-6640.
Chinenyenwa Sofia Anugwom is licensed to practice in California (license number A165415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619406063.
Physician's Profile
Full Name | Chinenyenwa Sofia Anugwom |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 4711 W. Ashlan Ave, San Joaquin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619406063
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880014091
- Enrollment ID: I20201008002415
Medical Identifiers
Medical identifiers for Chinenyenwa Sofia Anugwom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619406063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A165415 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chinenyenwa Sofia Anugwom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chinenyenwa Sofia Anugwom, Po Box 737, San Joaquin, CA 93660-0737 Ph: (559) 203-6640 | Chinenyenwa Sofia Anugwom, 4711 W. Ashlan Ave, San Joaquin, CA 93660 Ph: (559) 203-6640 |
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