Active NPI
Femi Benaiah Obanor, FNP-BC
- Family Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95008046
- Practice address
- 3795 E Shields Ave
Fresno, CA 93726-7029 - Phone
- (404) 704-5891
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN219594 | GA | |
| Family Nurse Practitioner | 363LF0000X | 95008046 | CA | Primary |
Addresses
Primary practice location
3795 E Shields Ave
Fresno, CA 93726-7029
Mailing address
3795 E Shields Ave
Fresno, CA 93726-7029
Phone (404) 704-5891
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180228002877 | CA | Practitioner - Nurse Practitioner | 0547521809 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pain Clinics of Central California, Inc.
Practice addresses (Care Compare)
3751 E Shields Ave
Fresno, CA 93726-7029
Phone (833) 478-1818
Hospital & facility affiliations
- San Joaquin Valley Rehabilitation Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.29 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008046 | CA | MD | Family Nurse Practitioner |
| RN219594 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Clinics of Central California, Inc. | Pain Medicine | Current | Accepting new patients |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Past | Accepting new patients | |
| Lags Spine and Sportscare Medical Centers, Inc. | Past | Accepting new patients | |
| Lags Spine and Sportscare Medical Centers Inc | Past | Accepting new patients |
Locations
4605 Buena Vista Rd
Ste 600815
Bakersfield, CA 93311
5771 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 272-1295
3751 E Shields Ave
Fresno, CA 93726
Phone (559) 272-1295
3793 E Shields Ave
Fresno, CA 93726
Phone (833) 478-1818
1130 Coffee Rd
Bldg 5B
Modesto, CA 95355
Phone (833) 478-1818
1317 Oakdale Rd
Ste 800
Modesto, CA 95355
Phone (209) 284-0729
1801 Tully Rd
Ste F
Modesto, CA 95350
Phone (209) 526-5770
4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815
2350 W Whitendale Ave
Visalia, CA 93277
Phone (559) 625-5286
Organizations & group practices 4
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.
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1861060733
CA, Pain Medicine
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Maria, CA
- NPI 1447244256
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Hayward, CA
- NPI 1962983965
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Fresno, CA
- NPI 1831144716
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1225547359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3795 E SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937267029",
"telephone_number": "404-704-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 E SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937267029",
"telephone_number": "404-704-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBANOR",
"first_name": "FEMI",
"middle_name": "BENAIAH",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN219594",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95008046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.