Active NPI
Ogunremi Ogunlana, RN, MSN, PHN, FNP
- Family Nurse Practitioner
- Newark, CA
National Provider Identifier
1104903574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17786
- Practice address
- 5428 Port Sailwood Dr
Newark, CA 94560 - Phone
- (510) 794-8538
- Fax
- (510) 794-8538
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 650782 | CA | |
| Community Health Registered Nurse | 163WC1500X | 72319 | CA | |
| Family Nurse Practitioner | 363LF0000X | 17786 | CA | Primary |
Addresses
Primary practice location
5428 Port Sailwood Dr
Newark, CA 94560
Mailing address
PO Box 1681
Newark, CA 94560-6681
Phone (510) 794-8538
Other names 1
- Remi Ogunlana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72319 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical & Nursing, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Palm Beach Gardens, FL
- NPI 1023123940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530316800000",
"number": "1104903574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"city": "NEWARK",
"state": "CA",
"postal_code": "945606681",
"telephone_number": "510-794-8538",
"fax_number": "510-794-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5428 PORT SAILWOOD DR",
"city": "NEWARK",
"state": "CA",
"postal_code": "94560",
"telephone_number": "510-794-8538",
"fax_number": "510-794-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNLANA",
"first_name": "OGUNREMI",
"name_prefix": "Ms.",
"credential": "RN, MSN, PHN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2018-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "650782",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "72319",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REMI",
"last_name": "OGUNLANA",
"credential": "RN, MSN, PHN, FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.