Individual provider Active NPI

Taiye Owareye Osawe, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1396116703
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007717 Issued in CA
Practice address
6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303
Phone
(213) 605-5124
NPI assigned
Oct 12, 2015
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007717 CA Primary

Addresses

Primary practice location

6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303

Mailing address

19725 Sherman Way
Winnetka, CA 91306-3650
Phone (818) 643-4311

Other practice location 1

19725 Sherman Way Ste 295B
Winnetka, CA 91306-3650
Phone (818) 643-4311

Other identifiers 1

IdentifierTypeStateIssuer
1396116703MedicaidCA

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
I20190205003531 CA Practitioner - Nurse Practitioner 1254679921 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Practice addresses (Care Compare)

1010 W Chapman Ave
Orange, CA 92868-2847
Phone (714) 633-4300

19344 Runnymede St
Reseda, CA 91335-2447

6303 Owensmouth Ave
FL 10
Woodland Hills, CA 91367-2262
Phone (818) 736-8939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
74.98
Improvement activities
40
Cost
51.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Neuropsychiatric Associates a P C CurrentSince Feb 9, 2023 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Dec 7, 2019 Accepting new patients
San Fernando Valley Community Mental Health Center CurrentSince Apr 2, 2019 Accepting new patients
Step Up on Second Street Inc. CurrentSince Dec 8, 2018 Accepting new patients
Step Up on Second Street, Inc. Current Accepting new patients
Step Up on Second Street, Inc. CurrentSince Dec 8, 2018 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Dec 7, 2019 Accepting new patients

Locations

6800 Owensmouth Ave
Ste 160
Canoga Park, CA 91303
Phone (818) 610-6700

17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

349A E Avenue K6
Lancaster, CA 93535
Phone (661) 723-4260

1816 S Figueroa St
Fl 6
Los Angeles, CA 90015
Phone (213) 763-0300

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

1010 W Chapman Ave
Orange, CA 92868
Phone (714) 633-4300

2323 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 223-3800

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

14545 Sherman Cir
Van Nuys, CA 91405
Phone (818) 901-4854

14600 Sherman Way
Ste 100D
Van Nuys, CA 91405
Phone (818) 901-4854

16360 Roscoe Blvd
Ste 200
Van Nuys, CA 91406
Phone (818) 815-7951

3741 Stocker St
Ste 200
View Park, CA 90008
Phone (323) 290-5800

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1396116703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19725 SHERMAN WAY",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063650",
            "telephone_number": "818-643-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE STE 160",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "213-605-5124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19725 Sherman Way Ste 295B",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "CA",
            "postal_code": "913063650",
            "country_code": "US",
            "telephone_number": "818-643-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSAWE",
        "first_name": "TAIYE",
        "middle_name": "OWAREYE",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396116703",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.