Organization Active NPI

Globe Nursing NP Prof Corp

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1487089702
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17752 Issued in CA
Legal business name
GLOBE NURSING NP PROF CORP
Practice address
933 S. Sunset Ave
Ste 105
West Covina, CA 91790-3410
Phone
(626) 813-1222
Fax
(626) 813-1221
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mr. Osamamwode S. Ogbeiwi, FNP, PMHNP-BCNPI 1609047166
Title
NP
Phone
(626) 813-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 17752 CA Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 17752 CA

Addresses

Primary practice location

933 S. Sunset Ave
Ste 105
West Covina, CA 91790-3410

Mailing address

640 S Sunset Ave
Ste 102
West Covina, CA 91790-2808
Phone (626) 338-9000

Other names 1

  • GLOBE MEDICAL SERVICES INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528001172 CA Part B Supplier - Clinic/Group Practice 3476776196 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1487089702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SUNSET AVE",
            "address_2": "STE 102",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902808",
            "telephone_number": "626-338-9000",
            "fax_number": "626-338-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S. SUNSET AVE",
            "address_2": "STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "626-813-1222",
            "fax_number": "626-813-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBE NURSING NP PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "OGBEIWI",
        "authorized_official_first_name": "OSAMAMWODE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "626-813-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17752",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "17752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOBE MEDICAL SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GLOBE MEDICAL SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.