Individual provider Active NPI

Oma N Agbai, MD

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1114246154
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A121135 Issued in CA
Practice address
3301 C St
Sacramento, CA 95816-3300
Phone
(916) 734-6371
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A121135 CA Primary

Addresses

Primary practice location

3301 C St
Sacramento, CA 95816-3300

Mailing address

3301 C St
Sacramento, CA 95816-3300
Phone (916) 734-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150908002616 CA Practitioner - Dermatology 0648586586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

3301 C St
Sacramento, CA 95816-3300
Phone (916) 827-7463

650 University Ave
Suite 200
Sacramento, CA 95825-6726
Phone (916) 571-5200

77 Cadillac Dr
Suite 240
Sacramento, CA 95825-8328
Phone (916) 734-6111

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions517
Removal of nail tissue1-10
Removal or shaving of skin growth25
Skin biopsy217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121135CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Dermatology CurrentSince Jul 27, 2015 Accepting new patients
Regents of the University of California CurrentSince Jul 27, 2015 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 27, 2015 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Medical Dermatology & Cosmetic Clinic of Northern California Dermatology CurrentSince Feb 1, 2026 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

650 University Ave
Ste 200
Sacramento, CA 95825
Phone (916) 571-5200

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1114246154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBAI",
        "first_name": "OMA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A121135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.