Organization Active NPI

Precision Health Consulting & Clinic

  • Occupational Medicine Clinic/Center
  • Corona, CA
National Provider Identifier
1083471445
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
PRECISION HEALTH CONSULTING & CLINIC
Practice address
760 S Washburn Ave
Ste 22
Corona, CA 92882-3303
Phone
(951) 339-8000
Fax
(951) 339-8001
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Oluyemisi Aderonke Olubi, MD MPHNPI 1942496096
Title
Ceo/Cmo
Phone
(951) 638-1315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

760 S Washburn Ave
Ste 22
Corona, CA 92882-3303

Mailing address

11762 De Palma Rd
Ste 1C #507
Corona, CA 92883-8494
Phone (951) 638-1315

Other names 2

  • Precision Health Consulting & Clinic Doing business as
  • Precision Health Consulting & Clinic Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240731002584 CA Part B Supplier - Clinic/Group Practice 2769929330 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

760 Washburn Ave
Ste 22
Corona, CA 92882
Phone (951) 547-5160

760 Washburn Ave
Ste A
Corona, CA 92882
Phone (909) 808-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1083471445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD",
            "address_2": "STE 1C #507",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928838494",
            "telephone_number": "951-638-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S WASHBURN AVE",
            "address_2": "STE 22",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-339-8000",
            "fax_number": "951-339-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION HEALTH CONSULTING & CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "OLUBI",
        "authorized_official_first_name": "OLUYEMISI",
        "authorized_official_middle_name": "ADERONKE",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "951-638-1315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Health Consulting & Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Health Consulting & Clinic Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.