Individual provider Active NPI

Olufemi T. Opanubi

  • Radiologic Technologist
  • Covina, CA
National Provider Identifier
1386687879
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
RHF 75722 Issued in CA
Practice address
20628 E Arrow Hwy
Covina, CA 91724-1343
Phone
(626) 859-7733
Fax
(626) 859-7731
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RHF 75722 CA Primary

Addresses

Primary practice location

20628 E Arrow Hwy
Covina, CA 91724-1343

Mailing address

20628 E Arrow Hwy
Covina, CA 91724-1309
Phone (626) 859-7733

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

LicenseStateTypeSpecialty
RHF 75722CAMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386687879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20628 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241309",
            "telephone_number": "626-859-7733",
            "fax_number": "626-859-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20628 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241343",
            "telephone_number": "626-859-7733",
            "fax_number": "626-859-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPANUBI",
        "first_name": "OLUFEMI",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHF 75722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.