Active NPI
Adeola Oni-Orisan, MD
- Family Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A167053
- Practice address
- 4860 Y St
Sacramento, CA 95817-2307 - Phone
- (916) 734-3160
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A167053 | CA | Primary |
Addresses
Primary practice location
4860 Y St
Sacramento, CA 95817-2307
Mailing address
4860 Y St Ste 2320
Sacramento, CA 95817-2307
Phone (916) 734-3160
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220310002282 | CA | Practitioner - Family Practice | 0941695837 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167053 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Family Medicine | Current | Accepting new patients |
| Cares Community Health | Current | Accepting new patients | |
| Cares Community Health | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| South Wind Women'S Center, LLC | Past | Accepting new patients |
Locations
3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949
2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300
1325 Travis Blvd
Fairfield, CA 94533
Phone (707) 427-2222
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299
4860 Y St
Ste 2320
Sacramento, CA 95817
Phone (916) 734-2833
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010
Interoperability endpoints
- aoniorisan607106@direct.ochin.org
- adeola.oni-orisan@332828990373892.direct.elationemr.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Carmichael, CA
- NPI 1255180873
-
- Clinical Medical Laboratory
- San Rafael, CA
- NPI 1750435244
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Community Health Clinic/Center
- Walnut Creek, CA
- NPI 1003974064
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1275526295
-
- Clinic/Center
- Wichita, KS
- NPI 1043563349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1124523774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST STE 2320",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONI-ORISAN",
"first_name": "ADEOLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A167053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.