Ibironke Mutiat Gbaja-Biamila, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1021248 Issued in TX

Practice address

303 Twin Dolphin Dr
Redwood City, CA 94065-1497

Phone

(832) 875-5602

NPI assigned

May 4, 2021

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 TX

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Catapult Health PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1154963841
  Medicare reassignment NPD
• Catapult Health, LLC

  • Corporate Health Clinic/Center
  • Dallas, TX
  • NPI 1356629596
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1144803461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S GREENVILLE AVE",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750814112",
            "telephone_number": "832-876-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TWIN DOLPHIN DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651497",
            "telephone_number": "832-875-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GBAJA-BIAMILA",
        "first_name": "IBIRONKE",
        "middle_name": "MUTIAT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrah Turner Garvin, PH.D.
• Royce B. Garvin, PH.D.
• Luis Rey Gasca, MD
• Michael Gaudiani II, MD
• Zacharay Gavriel, PSY.D.
• Daniel Gbundema
• Keith K Gee Jr., D.D.S
• Genomic Health, Inc.
• Gentlebirth PR LLC
• Tien Gerrodette

• Nurse Practitioner in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.