Mosebolatan Ogundairo

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

242049 Issued in CA

Practice address

8159 Gandy Dancer Way
Sacramento, CA 95823-5929

Phone

(916) 478-1299

NPI assigned

Apr 8, 2013

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1588007702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8159 GANDY DANCER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235929",
            "telephone_number": "916-478-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 GANDY DANCER WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235929",
            "telephone_number": "916-478-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDAIRO",
        "first_name": "MOSEBOLATAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "242049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naty P Oglesby, R.N.
• William Christopher Oglesby
• Ruth A Ogot, DNP-C
• Nallely Oguin
• Esosa Ogunbor
• Prayer Ogunsuyi, RN
• Ijeoma Ogwudire
• Caleb Youngju Oh, PHARMD
• Connie Oh
• Jane Oh

• Licensed Vocational Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.