Individual provider Active NPI

Angela Onosolabomi Sojobi, CNM

  • Midwife
  • Moreno Valley, CA
National Provider Identifier
1154382216
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NMW1019 Issued in CA
Practice address
12980 Frederick St
Suite a
Moreno Valley, CA 92553-5263
Phone
(951) 924-0108
Fax
(951) 924-4776
NPI assigned
Mar 29, 2006
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NMW1019 CA Primary

Addresses

Primary practice location

12980 Frederick St
Suite a
Moreno Valley, CA 92553-5263

Mailing address

12980 Frederick St
Ste a
Moreno Valley, CA 92553-5263
Phone (951) 924-0108

Other identifiers 2

IdentifierTypeStateIssuer
NMW010191MedicaidCA
NMW010190MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.sojobi.p1@direct.eisnerhealth.nextgenshare.com Health Information Exchange (HIE)

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123000010 CA Practitioner - Certified Nurse Midwife (CNM) 0244288066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2215 W Rosecrans Ave
Compton, CA 90222-3856

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NMW1019CAMDMidwife
1019CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. CurrentSince Nov 18, 2014 Accepting new patients
Obhg California, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation Midwife CurrentSince Dec 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Dec 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Nov 18, 2014 Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

2185 Citracado Pkwy
Bldg 1
Escondido, CA 92029

17450 Main St
Hesperia, CA 92345
Phone (760) 244-8000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

16850 Bear Valley Rd
Victorville, CA 92395

16850 Bear Valley Rd
Ste 100
Victorville, CA 92395

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1154382216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST",
            "address_2": "STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-924-0108",
            "fax_number": "951-924-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST",
            "address_2": "SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-924-0108",
            "fax_number": "951-924-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJOBI",
        "first_name": "ANGELA",
        "middle_name": "ONOSOLABOMI",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "NMW1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NMW010191",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NMW010190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.sojobi.p1@direct.eisnerhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGenShare, Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 S Olive St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900153023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.