Active NPI
Ibukun Olaitan Akinsola, FNP
- Family Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030041
- Practice address
- 200 Oceangate Ste 100
Long Beach, CA 90802-4317 - Phone
- (909) 409-4536
- NPI assigned
- May 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030041 | CA | Primary |
Addresses
Primary practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
6597 Sonoma Ave
Fontana, CA 92336-3203
Phone (909) 733-9306
Other practice location 1
5015 Eagle Rock Blvd
Los Angeles, CA 90041-2085
Phone (747) 300-7541
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Care | Current | Accepting new patients | |
| Albion Medical Partners of California West P C | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Molina Healthcare of California | Current | Accepting new patients | |
| Legacy Marketing Worldwide Inc. | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Primary Care Nurse Practitioner
- Los Angeles, CA
- NPI 1336505197
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727568000000",
"number": "1396592564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6597 SONOMA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363203",
"telephone_number": "909-733-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "909-409-4536"
}
],
"practiceLocations": [
{
"address_1": "5015 Eagle Rock Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900412085",
"country_code": "US",
"telephone_number": "747-300-7541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKINSOLA",
"first_name": "IBUKUN",
"middle_name": "OLAITAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-04",
"last_updated": "2024-09-29",
"certification_date": "2024-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.