Individual provider Active NPI

Ebunoluwa Temitope Bakare, RN

  • Registered Nurse
  • San Dimas, CA
National Provider Identifier
1447164470
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95150912 Issued in CA
Practice address
316 Mateo Ave
San Dimas, CA 91773-2720
Phone
(424) 391-4632
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95150912 CA Primary

Addresses

Primary practice location

316 Mateo Ave
San Dimas, CA 91773-2720

Mailing address

316 Mateo Ave
San Dimas, CA 91773-2720
Phone (424) 391-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1447164470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MATEO AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732720",
            "telephone_number": "424-391-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MATEO AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732720",
            "telephone_number": "424-391-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKARE",
        "first_name": "EBUNOLUWA",
        "middle_name": "TEMITOPE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95150912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.