Individual provider Active NPI

Osagie Bello, M.D

  • Medical Oncology Physician
  • Brawley, CA
National Provider Identifier
1164726378
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
279503 Issued in NY
Practice address
205 W Legion Rd
Brawley, CA 92227
Phone
(760) 351-3737
NPI assigned
Jan 3, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A115182 CA
Medical Oncology Physician 207RX0202X 279503 NY Primary

Addresses

Primary practice location

205 W Legion Rd
Brawley, CA 92227

Mailing address

PO Box 847411
Los Angeles, CA 90084-7411

Other practice location 1

531 Washington St
Watertown, NY 13601-4084
Phone (315) 788-7990

Other identifiers 1

IdentifierTypeStateIssuer
A115182OtherCASTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000174 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 2668641598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin J Ma MD a Professional CorporationGroup PAC ID 8325934482, 12 clinicians

Practice addresses (Care Compare)

1473 Ford St
Suite 104
Redlands, CA 92373-3915
Phone (909) 307-1250

2390 E Florida Ave
Suite 105
Hemet, CA 92544-4712
Phone (951) 929-1686

25405 Hancock Ave
Suite 211
Murrieta, CA 92562-5978
Phone (951) 677-9099

71777 San Jacinto Dr
101G
Rancho Mirage, CA 92270-4457
Phone (760) 969-6505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115182CAMDMedical Oncology Physician
279503NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Clinic Medical Group Past Accepting new patients
Starling Oncology Ca, a Professional Corporation Hematology & Oncology Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Samaritan Medical Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: osagie.bello.p65@direct.mydohc.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Calstro Hospice San DiegoSan Diego, CA, CCN A01630 Hospice Contracted Managing Employee (20%) Jun 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164726378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900847411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-351-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014084",
            "country_code": "US",
            "telephone_number": "315-788-7990",
            "fax_number": "315-788-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLO",
        "first_name": "OSAGIE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A115182",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "279503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A115182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.