Blessing Otaniyen Omoruyi, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95033128 Issued in CA

Practice address

1229 W 164TH St Apt D
Gardena, CA 90247-4859

Phone

(323) 674-3445

Fax

(323) 544-4319

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Blessing Otaniyen Omwanghe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ladawn Rehabilitation and Behavioral Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1508662339
  NPD Authorized official
• Blessing Omoruyi Nursing Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1386562551
  NPD (past) Authorized official
• H Soliman Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1710595889

  Psychiatric/Mental Health

  NPD (past)
• Hisham Soliman MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080
  NPD (past)
• Optimum Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1720650476
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1003632399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 W 164TH ST APT D",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474859",
            "telephone_number": "323-674-3445",
            "fax_number": "323-544-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W 164TH ST APT D",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474859",
            "telephone_number": "323-674-3445",
            "fax_number": "323-544-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMORUYI",
        "first_name": "BLESSING",
        "middle_name": "OTANIYEN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95033128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLESSING",
            "last_name": "OMWANGHE",
            "middle_name": "OTANIYEN",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salena Om
• Jacob Omalley
• Samira Shafec Omar
• Omega, Inc.
• Nnanna Omeirondi
• Lizel Grace Malabuyoc Ongchangco
• Chioma Pamela Onodugo
• Thomas Anthony Ontiveros, D.C.
• Onyekwere C Anyanwu Registered Nursing MSN RN PHN Pmhnp-BC Inc
• Sydney Onyenachi

• Psychiatric/Mental Health Nurse Practitioner in Gardena, CA
• Providers in Gardena, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.