Olusola Memud Asafa, PA-C
Individual provider Active NPI Physician Assistant · Oroville, CA
NPI 1467969485 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1467969485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2800 Lincoln St
Oroville, CA 95966-5961 - Phone
- (530) 534-7500
- Fax
- (530) 534-0210
- NPI assigned
- Dec 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ampla Health
Practice addresses (Care Compare)
2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500
680 Cohasset Rd
Chico, CA 95926-2213
Phone (530) 342-4395
Hospital & facility affiliations
- Aspire Home Healthcare of Northern California, Inc
- Butte Home Health and Hospice
- Valley View Healthcare Services LLC
- Oroville Hospital
- Enloe Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823002277 | CA | Practitioner - Physician Assistant | 0749539773 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Past | Accepting new patients |
Locations
2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500
935 Market St
Yuba City, CA 95991
Phone (530) 674-4261
Interoperability endpoints
- olusola.asafa@ampla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2800 Lincoln St
Oroville, CA 95966-5961
Mailing address
2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500
Other providers in Oroville, CA
- Daniel Martin Appel Jr.
- Nicole Anne Applegate
- Marvyn Otoniel Arabia
- Roxanna Elizabeth Arakozie
- Bailey Nicole Archuleta
- Micaela A Assam
- Massud Atta
- Iola McIntyre Ayche
- Jaspreet Singh Baath
- Fran Babich
All providers in Oroville, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.