Active NPI
Adeyimika Omololu, MD
- Family Medicine Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 144031
- Practice address
- 401 E School Ave
Visalia, CA 93291-5032 - Phone
- (877) 960-3426
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 144031 | CA | Primary |
Addresses
Primary practice location
401 E School Ave
Visalia, CA 93291-5032
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144031 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Primary Care Walk-in Medical Clinic | Family Medicine | Current | Accepting new patients |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Locations
16605 E Palisades Blvd
Ste 150
Fountain Hls, AZ 85268
Phone (480) 837-4300
33025 Road 159
Ivanhoe, CA 93235
Phone (559) 798-1877
12586 Avenue 408
Orosi, CA 93647
Phone (559) 528-2804
1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242
9416 Road 238
Terra Bella, CA 93270
Phone (559) 741-4500
401 E School Ave
Visalia, CA 93291
Phone (559) 741-4356
31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301
501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
400 E Oak Ave
Visalia, CA 93291
Phone (559) 741-4500
201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Family Medicine Physician
- Fountain Hills, AZ
- NPI 1790196806
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
-
- Federally Qualified Health Center (FQHC)
- Goshen, CA
- NPI 1336237072
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
-
- Federally Qualified Health Center (FQHC)
- Springville, CA
- NPI 1386738177
-
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
- NPI 1831520048
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1265878441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E SCHOOL AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915032",
"telephone_number": "877-960-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOLOLU",
"first_name": "ADEYIMIKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "144031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.