ESE OGBETUO (FNP) – Family Nurse Practitioner, NPI 1417423138

ESE OGBETUO (FNP) is a healthcare provider. based in San bernardino, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NPF95010120 (CA). The NPI Number for ESE OGBETUO (FNP) is 1417423138

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ESE OGBETUO (FNP)
NPI
1417423138
Phone
(312) 728-3509
Address
699 W Rialto Ave Unit B
Enumeration Date
19 October 2018
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097018649
Graduation Year
2018 (8 years ago)
PAC ID
4385073337
Group Practice PAC ID
3678940301
Professional Enrollment ID
I20200326002912
Address ID
CA917632238MO9655XAVEX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for ESE OGBETUO (FNP)

  • 699 W Rialto Ave Unit B

    San Bernardino, CA 924103327

    Phone: (312) 728-3509

    Fax: (312) 312-7364

    Type: Location

  • San Gabriel Boulevard, Rosemead, Los Angeles County, California, 91770, United States

    STE 200

    ROSEMEAD, CA 917704394

    Phone: (323) 724-0019

    Type: Mailing

  • 22617, Hawthorne Boulevard, Torrance, Los Angeles County, California, 90505, United States

    TORRANCE, CA 905052510

    Phone: (310) 370-4700

    Fax: (877) 762-3439

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($136).

Total Amount

$188

General + Research + Ownership

Payments

3

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200326002912INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour3011$0
99214Established patient office or other outpatient visit, 30-39 minutes2514$0
90836Psychotherapy with evaluation and management visit, 45 minutes2413$0
90833Psychotherapy with evaluation and management visit, 30 minutes2316$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 92410)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678940301View full group profile
NameSpecialtyState
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for ESE OGBETUO (FNP) in U.S. healthcare records?
The official identifier for ESE OGBETUO (FNP) is NPI 1417423138.
Active or inactive — what applies to ESE OGBETUO (FNP)?
You should see ESE OGBETUO (FNP) as active in CMS-hosted NPPES data.
What area of care is associated with ESE OGBETUO (FNP)?
ESE OGBETUO (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is ESE OGBETUO (FNP) registered?
Use San Bernardino, California as the headline location for ESE OGBETUO (FNP) here.
When was this NPI issued?
Enumeration for ESE OGBETUO (FNP) is noted as October 19, 2018 where the registry provides it.

Similar Providers

MELINDA LOUISE FUNK (FNP)

Family Nurse Practitioner
904, North 1st Avenue, North Ontario, Upland, San Bernardino County, California, 91786, United States
NPI: 1679560346
10332, Charwood Court, Alta Loma, Rancho Cucamonga, San Bernardino County, California, 91737, United States
NPI: 1477537140

SUSAN A. D. STRONG (FNP)

Family Nurse Practitioner
34835, Maplewood Lane, Yucaipa, San Bernardino County, California, 92399, United States
NPI: 1891767026

MS. ELAINE MARIE GACKLE (NP)

Family Nurse Practitioner
23021, Jensen Court, Grand Terrace, San Bernardino County, California, 92313, United States
NPI: 1093789000
284 E Highland Ave
NPI: 1801860507

SANA REMILLARD (NO)

Nurse Practitioner
West Highland Avenue, San Bernardino, San Bernardino County, California, 92405, United States
NPI: 1225086556

metropolitan family medical clinic

Family Medicine Physician
1574, West Base Line Street, San Bernardino, San Bernardino County, California, 92411, United States
NPI: 1184674830

EMMANUEL S ANGELES (N.P.)

Family Nurse Practitioner
PO BOX 10069
NPI: 1932154119
825 E Central Ave
NPI: 1669407102