Individual provider Active NPI

Ruth Oyinkansola Olusoto, FNP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1003688193
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95023938 Issued in CA
Practice address
1811 N Western Ave
Los Angeles, CA 90027-3403
Phone
(855) 783-2434
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95023938 CA Primary

Addresses

Primary practice location

1811 N Western Ave
Los Angeles, CA 90027-3403

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219003678 CA Practitioner - Nurse Practitioner 7810347697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Nov 27, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Nov 27, 2023 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation Past Accepting new patients

Locations

99 N La Cienega Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 657-9353

4905 Hollywood Blvd
Los Angeles, CA 90027
Phone (323) 461-9942

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

1811 N Western Ave
Los Angeles, CA 90027
Phone (323) 533-5626

2146 W Adams Blvd
Los Angeles, CA 90018
Phone (323) 766-2170

1400 S Grand Ave
Ste 801
Los Angeles, CA 90015
Phone (213) 741-5271

400 30th St
Ste 300
Oakland, CA 94609
Phone (510) 628-0949

520 N Prospect Ave
Ste 209
Redondo Beach, CA 90277
Phone (310) 374-5475

518A Castro St
San Francisco, CA 94114
Phone (415) 255-2720

4835 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 380-2626

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

Interoperability endpoints

  • Direct secure messaging: ruth.olusoto.1@26356.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003688193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273403",
            "telephone_number": "855-783-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUSOTO",
        "first_name": "RUTH",
        "middle_name": "OYINKANSOLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.