Individual provider Active NPI

Rivy Olasumbo Oseni, NP

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1306140637
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19892 Issued in CA
Practice address
23860 Hawthorne Blvd Ste 200
Torrance, CA 90505-8201
Phone
(310) 791-3064
NPI assigned
Dec 30, 2010
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19892 CA Primary

Addresses

Primary practice location

23860 Hawthorne Blvd Ste 200
Torrance, CA 90505-8201

Mailing address

3625 Del Amo Blvd
Ste 120
Torrance, CA 90503-1668
Phone (310) 512-8104

Other practice location 1

1300 W 155th St
Suite 103
Gardena, CA 90247-4048
Phone (310) 512-8104

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926002052 CA Practitioner - Nurse Practitioner 5698060044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

3200 E Guasti Rd
Suite 100
Ontario, CA 91761-8661
Phone (877) 515-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19892CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Jun 15, 2021 Accepting new patients
Savant Care Inc PastSince Feb 4, 2025 Accepting new patients
Fleming & Barnes, Inc. PastSince Oct 31, 2021 Accepting new patients
La County Department of Mental Health Past Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

17777 Center Court Dr N
Ste 600
Cerritos, CA 90703
Phone (562) 354-3099

1370 Valley Vista Dr
Ste 200
Diamond Bar, CA 91765
Phone (310) 981-8227

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

6203 San Ignacio Ave
Ste 110
San Jose, CA 95119
Phone (408) 638-9569

Interoperability endpoints

  • Direct secure messaging: rivy.oseni.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 5

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": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1306140637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 DEL AMO BLVD",
            "address_2": "STE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031668",
            "telephone_number": "310-512-8104",
            "fax_number": "310-324-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23860 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905058201",
            "telephone_number": "310-791-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W 155th St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902474048",
            "country_code": "US",
            "telephone_number": "310-512-8104",
            "fax_number": "310-324-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSENI",
        "first_name": "RIVY",
        "middle_name": "OLASUMBO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.