Individual provider Active NPI

Olusola Memud Asafa, PA-C

  • Physician Assistant
  • Oroville, CA
National Provider Identifier
1467969485
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2800 Lincoln St
Oroville, CA 95966-5961
Phone
(530) 534-7500
Fax
(530) 534-0210
NPI assigned
Dec 29, 2017
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2800 Lincoln St
Oroville, CA 95966-5961

Mailing address

2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500

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
I20180823002277 CA Practitioner - Physician Assistant 0749539773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Apr 1, 2019 Accepting new patients
Ampla Health CurrentSince Apr 1, 2019 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

  • Direct secure messaging: olusola.asafa@ampla.eclinicaldirectplus.com

Organizations & group practices 4

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 5

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1467969485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LINCOLN ST",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665961",
            "telephone_number": "530-534-7500",
            "fax_number": "530-534-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LINCOLN ST",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665961",
            "telephone_number": "530-534-7500",
            "fax_number": "530-534-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAFA",
        "first_name": "OLUSOLA",
        "middle_name": "MEMUD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.