Individual provider Active NPI

Olusegun Kayode Onibonoje, DO

  • Orthopaedic Surgery of the Spine Physician
  • Yuma, AZ
National Provider Identifier
1053804096
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
012177 Issued in AZ
Practice address
2460 S Parkview Loop Ste 3
Yuma, AZ 85364-5357
Phone
(928) 336-7846
Fax
(928) 336-1776
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 012177 AZ Primary
Orthopaedic Surgery Physician 207X00000X 05-49713 KS

Addresses

Primary practice location

2460 S Parkview Loop Ste 3
Yuma, AZ 85364-5357

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 1

6001 SW 6th Ave Ste 200
Topeka, KS 66615-1004
Phone (785) 233-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS, AZ3 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
I20230810001252 CA Practitioner - Orthopedic Surgery 5890157671 Reassigns benefits to 2 organizations
I20240913000622 KS Practitioner - Orthopedic Surgery 5890157671 Reassigns benefits to 1 organization
I20260324002390 AZ Practitioner - Orthopedic Surgery 5890157671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

6001 SW 6TH Ave
Suite 200
Topeka, KS 66615-1004
Phone (785) 233-7491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012177AZMDOrthopaedic Surgery of the Spine Physician
21091CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Orthopaedic Surgery CurrentSince Jul 27, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 27, 2023 Accepting new patients
UCSF Medical Group Business Services Orthopaedic Surgery CurrentSince Jul 27, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2023 Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

6001 SW 6th Ave
Ste 200
Topeka, KS 66615
Phone (785) 233-7491

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

Organizations & group practices 8

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 2

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1053804096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S PARKVIEW LOOP STE 3",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645357",
            "telephone_number": "928-336-7846",
            "fax_number": "928-336-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 SW 6th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666151004",
            "country_code": "US",
            "telephone_number": "785-233-7491",
            "fax_number": "785-233-3187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONIBONOJE",
        "first_name": "OLUSEGUN",
        "middle_name": "KAYODE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "012177",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "05-49713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.