Adekumbi Olufunso Ogundele

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

95072316 Issued in CA

Practice address

2411 Old Crow Canyon Rd Ste 195
San Ramon, CA 94583-1240

Phone

(925) 954-5292

NPI assigned

Nov 25, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@gileadwestcare.com

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.

• Gilead West Care Services LLC

  • Assisted Living Facility (Mental Illness)
  • Oakland, CA
  • NPI 1760019889
  NPD Authorized official

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1073159935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OLD CROW CANYON RD STE 160",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831200",
            "telephone_number": "925-208-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OLD CROW CANYON RD STE 195",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831240",
            "telephone_number": "925-954-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDELE",
        "first_name": "ADEKUMBI",
        "middle_name": "OLUFUNSO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95072316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@GILEADWESTCARE.COM",
            "affiliation": "N",
            "address_1": "2411 Old Crow Canyon Rd Ste 160",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945831200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alana Ochoa
• Sean Augustine Odwyer, CA PARAMEDIC
• Eng Tiong Oei, DDS
• Zachary Oliver Oelerich, LMFT
• Haro Ogawa
• Bamikole Ajibola Ogundele
• Onohi Ohens
• Azadeh Nicole Oien, DPT
• Michael Ojeda
• Okiemute Ojigbo

• Home Health Registered Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.