Individual provider Active NPI

Timiiye Dawn Yomi, MBBS, MD

  • Hospitalist Physician
  • Bakersfield, CA
National Provider Identifier
1508440967
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD-53414 Issued in IA
Practice address
East Niles Community Health Center
7800 Niles St
Bakersfield, CA 93306
Phone
(661) 328-4284
Fax
(661) 616-9977
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-53414 IA
Hospitalist Physician 208M00000X MD-53414 IA Primary

Addresses

Primary practice location

East Niles Community Health Center
7800 Niles St
Bakersfield, CA 93306

Mailing address

1351 W Central Park Ave Ste 4100
Davenport, IA 52804-1847
Phone (563) 421-2641

Other practice location 1

Circle Medical
505 East Grand Ave
Des Moines, IA 50309
Phone (888) 803-3370

Other names 1

  • Dr. Timiiye Dawn Sunwenghan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IA, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240118003649 CA Practitioner - Family Practice 0446654602 Reassigns benefits to 1 organization
I20240925001966 IA Practitioner - Hospitalist 0446654602 Reassigns benefits to 2 organizations
I20260427003444 OK Practitioner - Family Practice 0446654602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis
Davenport, IA 52803-2459
Phone (563) 421-1000

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-53414IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Genesis Health System Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Theoria Medical CurrentSince Oct 11, 2024 Accepting new patients
Genesis Health System CurrentSince Sep 9, 2024 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594

2002 Cedar St
Muscatine, IA 52761
Phone (563) 263-2023

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508440967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE STE 4100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041847",
            "telephone_number": "563-421-2641",
            "fax_number": "563-441-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST NILES COMMUNITY HEALTH CENTER",
            "address_2": "7800 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-328-4284",
            "fax_number": "661-616-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CIRCLE MEDICAL",
            "address_2": "505 East Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50309",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOMI",
        "first_name": "TIMIIYE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-53414",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-53414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMIIYE",
            "last_name": "SUNWENGHAN",
            "middle_name": "DAWN",
            "prefix": "DR.",
            "credential": "MBBS, MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.