Organization Active NPI

Jochebed Healthcare LLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1578459970
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOCHEBED HEALTHCARE LLC
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(682) 622-1267
NPI assigned
Jun 13, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Olugbeminiyi Olubanjo, MDNPI 1427274042
Title
Owner
Phone
(817) 800-9446

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

4615 Valleyview Dr
Mansfield, TX 76063-6748
Phone (817) 800-9446

Other practice location 1

522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone (682) 622-1267

Other practice location 2

9905 S Pennsylvania Ave Ste A
Oklahoma City, OK 73159-6920
Phone (682) 622-1267

Other practice location 3

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (682) 622-1267

Other practice location 4

7901 4th St N Ste 300
Saint Petersburg, FL 33702-4399
Phone (682) 622-1267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701000633 TX Part B Supplier - Clinic/Group Practice 3476066614 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1578459970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 VALLEYVIEW DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636748",
            "telephone_number": "817-800-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "682-622-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Riverside Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010581",
            "country_code": "US",
            "telephone_number": "682-622-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9905 S Pennsylvania Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731596920",
            "country_code": "US",
            "telephone_number": "682-622-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 N Cedar Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550602306",
            "country_code": "US",
            "telephone_number": "682-622-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "682-622-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOCHEBED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "OLUBANJO",
        "authorized_official_first_name": "OLUGBEMINIYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-800-9446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.