Individual provider Active NPI

Olusinmi Motunrola Bamgbose, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1093057648
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A132059 Issued in CA
Practice address
401 Parnassus Ave
Box 0984-RTP
San Francisco, CA 94143-0984
Phone
(415) 476-7577
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A132059 CA Primary
Psychiatry Physician 2084P0800X ME180486 FL
Psychiatry Physician 2084P0800X 76556 TN

Addresses

Primary practice location

401 Parnassus Ave
Box 0984-RTP
San Francisco, CA 94143-0984

Mailing address

401 Parnassus Ave
Box 0984
San Francisco, CA 94143-2211
Phone (415) 476-7000

Other practice location 1

1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229

Other practice location 2

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone (629) 206-6858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170629002910 CA Practitioner - Psychiatry 4789965260 Reassigns benefits to 2 organizations
I20260415003083 FL Practitioner - Psychiatry 4789965260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Morehouse School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547-6645

207 Granby Park
Norfolk, VA 23505-4119

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132059CAMDPsychiatry Physician
ME180486FLMDPsychiatry Physician
76556TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olusinmi Bamgbose M.D., Inc Psychiatry CurrentSince Jul 16, 2023 Accepting new patients
Regents Univ of California UCSF Psychiatry CurrentSince Nov 1, 2018 Accepting new patients
Diana Health FL P.a. CurrentSince Apr 7, 2026 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
Absolute OBGYN LLC PastSince Apr 7, 2026 Accepting new patients

Locations

8484 Wilshire Blvd
Ste 750
Beverly Hills, CA 90211
Phone (424) 438-1068

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

4100 Newport Place Dr
Ste 730
Newport Beach, CA 92660
Phone (714) 705-6411

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

Interoperability endpoints

  • Direct secure messaging: sinmi.bamgbose.1@23211.direct.athenahealth.com
  • Direct secure messaging: obamgbose226922@direct.cshs.org
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1093057648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX 0984",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432211",
            "telephone_number": "415-476-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX 0984-RTP",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430984",
            "telephone_number": "415-476-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 Mar Walt Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476645",
            "country_code": "US",
            "telephone_number": "850-243-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "629-206-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMGBOSE",
        "first_name": "OLUSINMI",
        "middle_name": "MOTUNROLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132059",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME180486",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "76556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.