Active NPI
Oyekunle Oyeyipo, CQT
- Other Technician
- Long Beach, CA
National Provider Identifier
1285083907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 24372
- Practice address
- 646 W Pacific Coast Hwy Ste 4
Long Beach, CA 90806-5239 - Phone
- (626) 692-5597
- NPI assigned
- Jun 3, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 24372 | CA | Primary |
Addresses
Primary practice location
646 W Pacific Coast Hwy Ste 4
Long Beach, CA 90806-5239
Mailing address
1830 Orizaba Ave
Signal Hill, CA 90755-1201
Phone (626) 692-5597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24372 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1285083907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 ORIZABA AVE",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907551201",
"telephone_number": "626-692-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 W PACIFIC COAST HWY STE 4",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908065239",
"telephone_number": "626-692-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEYIPO",
"first_name": "OYEKUNLE",
"credential": "CQT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-03",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "24372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.