Individual provider Active NPI

Tokunbo Labisi Williams, M.D

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1033422274
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD61473385 Issued in WA
Practice address
9990 County Farm Rd
Riverside, CA 92503-3542
Phone
(951) 358-4770
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125058953 IL
Psychiatry Physician 2084P0800X MD61473385 WA Primary

Addresses

Primary practice location

9990 County Farm Rd
Riverside, CA 92503-3542

Mailing address

9990 County Farm Rd
Riverside, CA 92503-3542
Phone (951) 358-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150105001897 CA Practitioner - Psychiatry 3173763661 Reassigns benefits to 5 organizations
I20231229001920 WA Practitioner - Psychiatry 3173763661 Reassigns benefits to 1 organization
I20240218000071 OR Practitioner - Psychiatry 3173763661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, 190 clinicians
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

Practice addresses (Care Compare)

1000 County Farm Rd
Riverside, CA 92503
Phone (951) 358-4390

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

9990 County Farm Rd
Riverside, CA 92503-3542

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058953ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry CurrentSince Sep 10, 2019 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 6, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 1, 2024 Accepting new patients
County of Riverside CurrentSince Oct 11, 2014 Accepting new patients
County of San Bernardino CurrentSince Jan 21, 2020 Accepting new patients
Billings Clinic CurrentSince Dec 1, 2023 Accepting new patients
County of San Bernardino CurrentSince Jan 21, 2020 Accepting new patients
County of San Bernardino Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Sep 10, 2019 Accepting new patients
County of Riverside CurrentSince Oct 11, 2014 Accepting new patients
County of Riverside Current Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1423 Broadway
#1124
Oakland, CA 94612

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

9990 County Farm Rd
Riverside, CA 92503
Phone (951) 358-4840

9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: twilliams101093@direct.llu.edu

Organizations & group practices 14

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.

View all 14

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1033422274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "951-358-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "951-358-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TOKUNBO",
        "middle_name": "LABISI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125058953",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61473385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.