Individual provider Active NPI

Ogunremi Ogunlana, RN, MSN, PHN, FNP

  • Family Nurse Practitioner
  • Newark, CA
National Provider Identifier
1104903574
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17786 Issued in CA
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

Updated by the provider on Jun 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
72319CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.