Individual provider Active NPI

Oluwatumininu Oludemi, DO

  • Addiction Medicine (Family Medicine) Physician
  • Ventura, CA
National Provider Identifier
1013656883
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
20A21624 Issued in CA
Practice address
300 Hillmont Ave Ste 101
Ventura, CA 93003-1651
Phone
(805) 652-6100
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A21624 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X 20A21624 CA Primary

Addresses

Primary practice location

300 Hillmont Ave Ste 101
Ventura, CA 93003-1651

Mailing address

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6228

Other practice location 1

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4000

Other practice location 2

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Other practice location 3

125 W Thousand Oaks Blvd Ste 200
Thousand Oaks, CA 91360-4459
Phone (805) 418-9100

Other practice location 4

325 W Channel Islands Blvd
Oxnard, CA 93033-4501
Phone (805) 204-9500

Other practice location 5

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6228

Other practice location 6

2240 E Gonzales Rd Ste 110&120
Oxnard, CA 93036-8210
Phone (805) 981-5181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oluwatumininu.oludemi@ventura.cernerdirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325001726 CA Practitioner - Family Practice 8224475363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

1911 Williams Dr
Oxnard, CA 93036-2612

300 Hillmont Ave
Ventura, CA 93003-1651

4258 Telegraph Rd
Ventura, CA 93003-3706
Phone (805) 477-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A21624CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Feb 11, 2024 Accepting new patients
County of Ventura CurrentSince Feb 11, 2024 Accepting new patients
County of Ventura Current Accepting new patients
Lawrence W. Chespak, M.D., a Prof Corp Past Accepting new patients

Locations

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

2240 E Gonzales Rd
Ste 110120
Oxnard, CA 93036
Phone (805) 981-5181

2240 E Gonzales Rd
Ste 110
Oxnard, CA 93036
Phone (805) 961-5161

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

125 W Thousand Oaks Blvd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-9100

300 Hillmont Ave
Ste 101
Ventura, CA 93003
Phone (805) 652-6100

800 S Victoria Ave
#L4640
Ventura, CA 93009

3147 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-5754

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

200 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-5755

Interoperability endpoints

  • Direct secure messaging: oluwatumininu.oludemi@ventura.cernerdirect.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1013656883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 E Los Angeles Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652871",
            "country_code": "US",
            "telephone_number": "805-582-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Thousand Oaks Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913604459",
            "country_code": "US",
            "telephone_number": "805-418-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Channel Islands Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930334501",
            "country_code": "US",
            "telephone_number": "805-204-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 E Gonzales Rd Ste 110&120",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930368210",
            "country_code": "US",
            "telephone_number": "805-981-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUDEMI",
        "first_name": "OLUWATUMININU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21624",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A21624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oluwatumininu.oludemi@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "1227 E Los Angeles Ave",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.