Taiwo Olawuyi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

67066 Issued in CA

Practice address

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103

Phone

(951) 330-3100

Fax

(951) 350-1050

NPI assigned

Sep 25, 2025

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

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tobias Moeller-Bertram MD CorporationGroup PAC ID 1456586064, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Tobias Moeller-Bertram MD Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
  • NPI 1922440684
  Medicare reassignment Care Compare group NPD
• Tobias Moeller-Bertram MD Corporation

  • Durable Medical Equipment & Medical Supplies
  • Indio, CA
  • NPI 1861389199
  NPD

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1508739681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAWUYI",
        "first_name": "TAIWO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ochoa
• Emmanuel O Ogbodo, MBA,, PA-C
• Oxana Ogiwara, LMT
• Georgenia Okere, NP-C
• Adaeze Okoh
• Linda S. Olson, NP
• Teresa Anne Oltmans, MPT
• Samantha Olvera, PPS
• Oluwafolake Omotosho, PHARMD
• Krista Lee Orrell

• Physician Assistant in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.