Stanley Oyewole

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235

Phone

(916) 923-1789

NPI assigned

Oct 22, 2019

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pegasus Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Stockton, CA
  • NPI 1164097812
  NPD Authorized official
• Advance Education, Inc.

  dba Capitol Autism Services

  • Behavior Analyst
  • Sacramento, CA
  • NPI 1578856977
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1477196418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 BEARDSLEY LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197142",
            "telephone_number": "415-574-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ROYAL OAKS DR STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154235",
            "telephone_number": "916-923-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Longport Ct Ste 130",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587182",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8950 Cal Center Dr Ste 137",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263236",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 Wilmington Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958201048",
            "country_code": "US",
            "telephone_number": "916-923-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEWOLE",
        "first_name": "STANLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• XI Aryail Ma a' Ox, DOULA
• Michelle Oxcena
• Etieosa Oyameta
• Amatari Ebimiera Oyatedor
• Omoyele Oyesanya
• Nduka Oyita
• Teresa Cintia Oyono Nsuga
• Edith O Oyubu
• Edwin Ufuoma Oyubu
• Burkai Oz

• Behavior Technician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.