Individual provider Active NPI

Ramotalai Abimbola Orukwowu, FNP-C

  • Family Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1548016900
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029814 Issued in CA
Practice address
29384 Gary Dr
Santa Clarita, CA 91387-4433
Phone
(818) 970-5345
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029814 CA Primary

Addresses

Primary practice location

29384 Gary Dr
Santa Clarita, CA 91387-4433

Mailing address

29384 Gary Dr
Canyon Country, CA 91387-4433

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
I20250213003135 CA Practitioner - Nurse Practitioner 4789117094

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29384 Gary Dr
Santa Clarita, CA 91387-4433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029814CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Nephrology Medical Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients

Locations

1759 W Avenue J
#101
Lancaster, CA 93534
Phone (661) 948-1388

212 S Richmond Rd
Ridgecrest, CA 93555
Phone (559) 432-5278

Interoperability endpoints

  • Direct secure messaging: rorukwowu40712@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 3

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1548016900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29384 GARY DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29384 GARY DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913874433",
            "telephone_number": "818-970-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUKWOWU",
        "first_name": "RAMOTALAI",
        "middle_name": "ABIMBOLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.