Organization Active NPI

Olusinmi Bamgbose M.D., Inc

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1235817131
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OLUSINMI BAMGBOSE M.D., INC
Practice address
8484 Wilshire Blvd Ste 750
Beverly Hills, CA 90211-3216
Phone
(424) 438-1068
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Olusinmi Bamgbose, MDNPI 1093057648
Title
Owner
Phone
(424) 438-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

8484 Wilshire Blvd Ste 750
Beverly Hills, CA 90211-3216

Mailing address

8484 Wilshire Blvd Ste 750
Beverly Hills, CA 90211-3216
Phone (424) 438-1068

National Provider Directory

National Provider Directory

Locations

8484 Wilshire Blvd
Ste 750
Beverly Hills, CA 90211
Phone (424) 438-1068

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1235817131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 750",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113216",
            "telephone_number": "424-438-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 750",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113216",
            "telephone_number": "424-438-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUSINMI BAMGBOSE M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "BAMGBOSE",
        "authorized_official_first_name": "OLUSINMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-438-1068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.