Individual provider Active NPI

Favour Olekanma

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1205415353
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06200008 Issued in CA
Practice address
2601 Del Rosa Ave Ste 242
San Bernardino, CA 92404-4400
Phone
(840) 261-6690
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06200008 CA Primary

Addresses

Primary practice location

2601 Del Rosa Ave Ste 242
San Bernardino, CA 92404-4400

Mailing address

2601 Del Rosa Ave Ste 242
San Bernardino, CA 92404-4400
Phone (840) 261-6690

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618001214 CA Practitioner - Nurse Practitioner 8022418607 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care First CorpGroup PAC ID 1850884289, 6 clinicians
Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (657) 900-4138

17337 Ventura Blvd
Suite 220
Encino, CA 91316-4039
Phone (818) 418-4440

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
33.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06200008CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Health Solutions, Inc CurrentSince Mar 20, 2025 Accepting new patients
Infinity Mobile Medical Group CurrentSince Oct 19, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Apr 19, 2021 Accepting new patients
WT Health of California LLC CurrentSince Jul 17, 2025 Accepting new patients
Always Better Care Home Health Services LLC CurrentSince May 1, 2024 Accepting new patients
Makini Clinic PLLC Family CurrentSince May 1, 2024 Accepting new patients
Citibest Healthcare Services LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

9604 Artesia Blvd
Ste 105
Bellflower, CA 90706
Phone (562) 804-3200

17337 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (818) 418-4440

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

87 N Raymond Ave
Ste 200
Pasadena, CA 91103
Phone (323) 250-3720

2601 Del Rosa Ave
Ste 242
San Bernardino, CA 92404
Phone (840) 261-6690

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1205415353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DEL ROSA AVE STE 242",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044400",
            "telephone_number": "840-261-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DEL ROSA AVE STE 242",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044400",
            "telephone_number": "840-261-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEKANMA",
        "first_name": "FAVOUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F06200008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.