Individual provider Active NPI

Olusegun B Leramo, M.D.

  • Neurological Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1386675254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C43014 Issued in CA
Practice address
2601 Oswell St
Suite 101
Bakersfield, CA 93306-3156
Phone
(661) 872-9999
Fax
(661) 872-1915
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C43014 CA Primary

Addresses

Primary practice location

2601 Oswell St
Suite 101
Bakersfield, CA 93306-3156

Mailing address

8805 Omeara CT
Bakersfield, CA 93311-2141
Phone (661) 664-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000124 CA Practitioner - Neurosurgery 4688746993 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C43014CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Majid Rahimifar, MD, Inc Neurological Surgery CurrentSince Apr 30, 2008 Accepting new patients

Locations

2601 Oswell St
Ste 101
Bakersfield, CA 93306
Phone (661) 616-5810

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386675254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 OMEARA CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933112141",
            "telephone_number": "661-664-4640",
            "fax_number": "661-872-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OSWELL ST",
            "address_2": "SUITE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063156",
            "telephone_number": "661-872-9999",
            "fax_number": "661-872-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERAMO",
        "first_name": "OLUSEGUN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C43014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.