Individual provider Active NPI

Olumide Oladehinde Awosika

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1457087892
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021798 Issued in CA
Practice address
370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732
NPI assigned
Jul 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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 95021798 CA Primary

Addresses

Primary practice location

370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732

Mailing address

370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732
Phone (818) 399-0670

Other practice location 1

370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732

Other practice location 2

370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732

Other practice location 3

370 Creanshaw Boulevard, Suite E202E
Torrance, CA 90503

Other practice location 4

1249 W 140th St
Gardena, CA 90247-2213

Other practice location 5

370 Crenshaw Blvd Ste E202E
Torrance, CA 90503-1732
Phone (818) 399-0670

Other practice location 6

370 Crenshaw Boulevard, Suite E202E
Torrance, CA 90503

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
95021798CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1457087892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CRENSHAW BLVD STE E202E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031732",
            "telephone_number": "818-399-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CRENSHAW BLVD STE E202E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Crenshaw Blvd Ste E202E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031732",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Crenshaw Blvd Ste E202E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031732",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Creanshaw Boulevard, Suite E202E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90503",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 W 140th St",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902472213",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Crenshaw Blvd Ste E202E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031732",
            "country_code": "US",
            "telephone_number": "818-399-0670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Crenshaw Boulevard, Suite E202E",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90503",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWOSIKA",
        "first_name": "OLUMIDE",
        "middle_name": "OLADEHINDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.