Funmilola Umoren, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95013133 Issued in CA

Practice address

2435 Kaiser Way
Antioch, CA 94531-9061

Phone

(661) 345-2005

NPI assigned

Dec 5, 2019

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Santa Maria, CA
  • NPI 1538757232
  Medicare reassignment NPD
• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1316009558
  Medicare reassignment NPD
• Cep America - Psychiatry PC

  • Psychiatry Physician
  • Indio, CA
  • NPI 1144195926
  NPD
• Cep America - Psychiatry PC

  dba Vituity

  • Psychiatry Physician
  • Concord, CA
  • NPI 1669977682
  NPD
• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1447588876
  NPD
• Fred Finch Youth Center

  • Clinical Social Worker
  • Spring Valley, CA
  • NPI 1811185473
  NPD
• Bay Metropolitan Home Health Services LLC

  • Home Health Agency
  • Antioch, CA
  • NPI 1376883223
  NPD (past)
• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1518188580
  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1124665468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KAISER WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319061",
            "telephone_number": "661-345-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KAISER WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319061",
            "telephone_number": "661-345-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2523 El Portal Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Pablo",
            "state": "CA",
            "postal_code": "948063305",
            "country_code": "US",
            "telephone_number": "510-482-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMOREN",
        "first_name": "FUNMILOLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Tzeng, PHARM.D.
• Christopher Ubando
• Anudeep Ubhi
• Emmanuel Ephraim Udor
• Rachel Ueda
• Malika Unbankes
• United Med Transportation Inc (Umt)
• Tera Elizabeth Uppstad, B.A.
• Bernabe Floro Urbano Jr., MD
• Cynthia Urena

• Psychiatric/Mental Health Nurse Practitioner in Antioch, CA
• Providers in Antioch, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.