Sunday Okundolor, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

23227 Issued in CA

Practice address

3831 Hughes Ave
Ste 506
Culver City, CA 90232-6860

Phone

(310) 280-9670

Fax

(310) 280-9675

NPI assigned

Apr 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Access Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1184234726
  NPD
• New Foundation Medical Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1689023582
  NPD
• Culver City Psychological Associates, Inc.

  • Clinical Psychologist
  • Culver City, CA
  • NPI 1689684607
  NPD (past)

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1124447974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "STE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326860",
            "telephone_number": "310-280-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "STE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326860",
            "telephone_number": "310-280-9670",
            "fax_number": "310-280-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDOLOR",
        "first_name": "SUNDAY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "489109",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "23227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marygrace I Okoye, L V N
• Elizabeth Okpala
• Ann Nene Okpara
• Rebecca Okpere
• Tarrah Ashley Oktavec, LMFT
• Chika Stella Okwara
• Franklin Olayemi
• Danna Oliva
• Melissa Olivares, RBT
• Sofia Antoinette Olivares

• All providers in Culver City, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.