Sarah S Olelewe, MD, Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A56520 Issued in CA

Legal business name

SARAH S OLELEWE, MD, INC

Practice address

11712 Hawthorne Blvd
Hawthorne, CA 90250-2324

Phone

(310) 679-9293

Fax

(310) 715-8686

NPI assigned

Oct 16, 2006

Last updated

Aug 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Sam Olelewe, M.D.NPI 1689754665

Title

Ceo

Phone

(310) 679-9293

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Sam Olelewe, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hawthorne, CA
  • NPI 1689754665
  Medicare reassignment NPD Authorized official
• Ogbonna Iwuamadi Olelewe, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Hawthorne, CA
  • NPI 1043751886
  Medicare reassignment NPD
• Renee McKenzie, NP-C

  • Family Nurse Practitioner
  • Hawthorne, CA
  • NPI 1043674625
  NPD (past)
• Joseph Ngwa Tanifor, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Hawthorne, CA
  • NPI 1184931925
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1386724383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760238",
            "telephone_number": "310-679-9293",
            "fax_number": "310-715-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502324",
            "telephone_number": "310-679-9293",
            "fax_number": "310-715-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH S OLELEWE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "OLELEWE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-679-9293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A56520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A565201",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV NUMBER",
            "identifier": "00A565200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.