Ambrose Owie Obasohan

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

6221 Geary Blvd FL 2
San Francisco, CA 94121-1834

Phone

(415) 386-6600

Fax

(415) 751-3226

NPI assigned

Jul 24, 2023

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

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1558041657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 KENTWOOD LN APT 801",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782368",
            "telephone_number": "510-904-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 GEARY BLVD FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211834",
            "telephone_number": "415-386-6600",
            "fax_number": "415-751-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASOHAN",
        "first_name": "AMBROSE",
        "middle_name": "OWIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abosede Olufunke Obagunwa
• Douglas Obana, MPH
• Edna Eunice Obaseki, MS
• Nosa Obaseki
• Ojochide Obaseki
• Dennis Okumu Obat, MD
• Susan T. Obata, MD
• Obdulia'S Resthome, Inc
• Marilyn Jeanne Obedzinski, PNP
• Nancy Ann Elizabeth Oberheim Bush, M.D. PH.D.

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.