Individual provider Active NPI

Oluwatoni Janet Arene, MD

  • Family Medicine Physician
  • San Jacinto, CA
National Provider Identifier
1295051852
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A122516 Issued in CA
Practice address
23119 Soboba Rd
San Jacinto, CA 92583-2904
Phone
(951) 654-0803
Fax
(951) 487-9634
NPI assigned
Apr 7, 2010
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A122516 CA Primary

Addresses

Primary practice location

23119 Soboba Rd
San Jacinto, CA 92583-2904

Mailing address

23119 Soboba Rd
San Jacinto, CA 92583-2904
Phone (951) 654-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612000126 TX Practitioner - Family Practice 6204147598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone (909) 864-1097

23119 Soboba Rd
Soboba Indian Health Clinic
San Jacinto, CA 92583-5517
Phone (951) 654-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Feb 1, 2015 Accepting new patients

Locations

11555 Potrero Rd
Banning, CA 92220
Phone (800) 732-8805

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

23119 Soboba Rd
San Jacinto, CA 92583
Phone (951) 654-0803

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1295051852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23119 SOBOBA RD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925832904",
            "telephone_number": "951-654-0803",
            "fax_number": "951-487-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 SOBOBA RD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925832904",
            "telephone_number": "951-654-0803",
            "fax_number": "951-487-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENE",
        "first_name": "OLUWATONI",
        "middle_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.