Tokunboh Agbaje

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

768305 Issued in CA

Practice address

1225 M St
Correctional Health, 2ND FL
Fresno, CA 93721-1805

Phone

(559) 600-9352

Fax

(559) 442-5277

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Fresno

  • Clinic/Center
  • Fresno, CA
  • NPI 1346371804
  NPD (past)
• County of Fresno

  • Clinic/Center
  • Fresno, CA
  • NPI 1821129537
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1093147209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11867",
            "address_2": "CORRECTIONAL HEALTH",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937751867",
            "telephone_number": "559-600-3229",
            "fax_number": "559-600-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 M ST",
            "address_2": "CORRECTIONAL HEALTH, 2ND FL",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211805",
            "telephone_number": "559-600-9352",
            "fax_number": "559-442-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAJE",
        "first_name": "TOKUNBOH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "768305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Afshinnik, M.D.
• Aftercare Wellness, Inc.
• Mark Aganya, PMHNP
• Agape
• Shivali Agarwal, M.D.
• Bethany Ann Agbisit
• Kingsley Agbodike
• Daniel Jhon Agbogidi
• Lacey Agbulos
• Agh Care Inc

• All providers in Fresno, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.