AUGUSTINE M. ODOZOR RN – NPI #1144151713
Registered Nurse

AUGUSTINE ODOZOR is a registered nurse (RN) located in SAN DIEGO, CA. NPPES recently assigned the NPI number 1144151713 to AUGUSTINE ODOZOR on May 25, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 163WP0809X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Psychiatric/Mental Health, Adult

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUGUSTINE ODOZOR below.

NPI Profile for
AUGUSTINE M. ODOZOR

NPI Number
1144151713
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AUGUSTINE M. ODOZOR
Credentials
RN
Primary location
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone: (619) 692-8232 Fax: (619) 542-4060
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0809X
- Registered Nurse / Psychiatric/Mental Health, Adult (Primary)
CA 95438226

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.