Abiola Oyenwen Izekor

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95023778 Issued in CA

Practice address

555 Mission St
San Francisco, CA 94105-0920

Phone

(940) 882-1836

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

Yes

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.

• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1780054379

  CA

  Medicare reassignment Care Compare group NPD
• Geode Health of Texas, PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1851037162

  TX

  Medicare reassignment Care Compare group NPD
• Senior Psychcare of San Antonio I, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1225324270

  Psychiatric/Mental Health, TX

  Medicare reassignment Care Compare group NPD
• BSW Geode Clinicians of Texas PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834

  TX

  Medicare reassignment NPD
• Heart of Texas Region MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waco, TX
  • NPI 1639399132

  TX

  Medicare reassignment NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1184791998
  Care Compare group NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1033296272
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1245719129
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1497021109
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1598387680
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1659993699
  Care Compare group
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1679381107
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Psychcare of San Antonio I PLLC 13 clinicians

Bay Area Community Health 106 clinicians

Geode Health of Texas, PLLC 158 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abiola.izekor.1@25899.direct.athenahealth.com

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1194455741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE K4",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465247",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941050920",
            "telephone_number": "940-882-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZEKOR",
        "first_name": "ABIOLA",
        "middle_name": "OYENWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1083942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451119803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisha Lakshmi Iyer, PHARMD
• Shloka Iyer
• Sonali Iyer, MD
• Helina Iyob-Tessema, DMD
• Ambereen Iyoob, DBS
• Jacob Michael Izenberg
• Nina Izraylevich, D.D.S.
• J & T Care, LLC
• J Bodyworks Inc.
• J Brooks Crawford MD

• All providers in San Francisco, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.