Individual provider Active NPI

Ademola I Raji

  • Driver
  • Oakland, CA
National Provider Identifier
1114570561
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
F8138136 Issued in CA
Practice address
1924 9TH Ave Apt 202
Oakland, CA 94606-2634
Phone
(415) 425-6483
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X F8138136 CA Primary

Addresses

Primary practice location

1924 9TH Ave Apt 202
Oakland, CA 94606-2634

Mailing address

1924 9TH Ave Apt 202
Oakland, CA 94606-2634
Phone (415) 425-6483

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F8138136CAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1114570561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 9TH AVE APT 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062634",
            "telephone_number": "415-425-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 9TH AVE APT 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062634",
            "telephone_number": "415-425-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJI",
        "first_name": "ADEMOLA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F8138136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.