Individual provider Active NPI

Olukemi A Kuku, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, CA
National Provider Identifier
1114417854
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95009037 Issued in CA
Practice address
4080 Port Chicago Hwy
Concord, CA 94520-1121
Phone
(925) 674-4200
NPI assigned
May 17, 2018
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95009037 CA Primary

Addresses

Primary practice location

4080 Port Chicago Hwy
Concord, CA 94520-1121

Mailing address

PO Box 1776
Vacaville, CA 95696-1776

Other practice location 1

1261 Travis Blvd Ste 375
Fairfield, CA 94533-4811
Phone (707) 673-2515

Other practice location 2

2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2080

Other names 1

  • Olukemi A Kuku-Ojo Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001822 CA Practitioner - Nurse Practitioner 5395096986 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SolanoGroup PAC ID 7911893177, 30 clinicians
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians

Practice addresses (Care Compare)

1261 Travis Blvd
Suite 375
Fairfield, CA 94533-4811
Phone (714) 323-3822

2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2120

4080 Port Chicago Hwy
Concord, CA 94520-1121
Phone (925) 674-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC CurrentSince Oct 1, 2018 Accepting new patients
Humu Health LLC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 4, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 4, 2024 Accepting new patients
Cep America - Psychiatry PC Current Accepting new patients
University of California San Francisco CurrentSince May 5, 2024 Accepting new patients
Cep America - Psychiatry PC CurrentSince Oct 1, 2018 Accepting new patients
University of California San Francisco CurrentSince May 5, 2024 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Feb 18, 2025 Accepting new patients
Humu Health Inc Psychiatric/Mental Health CurrentSince Oct 31, 2021 Accepting new patients

Locations

2740 Grant St
Concord, CA 94520
Phone (925) 518-5844

4080 Port Chicago Hwy
Concord, CA 94520
Phone (925) 674-4179

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

1261 Travis Blvd
Ste 190
Fairfield, CA 94533
Phone (707) 427-5020

1261 Travis Blvd
Ste 375
Fairfield, CA 94533
Phone (707) 673-2515

2401 Waterman Blvd
Ste A4275
Fairfield, CA 94534

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

3300 Webster St
Ste 803
Oakland, CA 94609

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: kemi.kuku@hhl-ca.direct.office.nextgen.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1114417854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1776",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956961776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 PORT CHICAGO HWY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201121",
            "telephone_number": "925-674-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Travis Blvd Ste 375",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334811",
            "country_code": "US",
            "telephone_number": "707-673-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Courage Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336717",
            "country_code": "US",
            "telephone_number": "707-784-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKU",
        "first_name": "OLUKEMI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUKEMI",
            "last_name": "KUKU-OJO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.