Olaoluwapo Eniitan Omoleke, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

8564 Grant Line Rd
Elk Grove, CA 95624-9638

Phone

(703) 309-8426

NPI assigned

Mar 24, 2026

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Custom Care Home Health Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Elk Grove, CA
  • NPI 1447502026
  NPD
• Customcare Home Health Services Inc.

  • Home Health Agency
  • Elk Grove, CA
  • NPI 1003055195
  NPD

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1093653610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 GRANT LINE RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249638",
            "telephone_number": "703-309-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8564 GRANT LINE RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249638",
            "telephone_number": "703-309-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOLEKE",
        "first_name": "OLAOLUWAPO",
        "middle_name": "ENIITAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneese Ollison
• Abimbola Oluyemisi Olusanya, DNP, FNP, PMHNP-BC
• Omb Non-Emergency Medical Transport
• Najibullah Omer
• Omnicare Transportation LLC
• Michelle Kim On
• Nelson S Ong, D.C.
• Willy Ong, RN
• Verlyn Ongjoco
• Oluwatosin Oni

• Student in an Organized Health Care Education/Training Program in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.