Individual provider Active NPI

Abayomi Babatunde Ikutiminu

  • Specialist
  • San Francisco, CA
National Provider Identifier
1588086532
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1390 Market St
210
San Francisco, CA 94102-5402
Phone
(415) 252-3970
Fax
(415) 252-3910
NPI assigned
Jan 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1390 Market St
210
San Francisco, CA 94102-5402

Mailing address

1390 Market St
210
San Francisco, CA 94102-5402
Phone (415) 252-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1588086532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST",
            "address_2": "210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025402",
            "telephone_number": "415-252-3970",
            "fax_number": "415-252-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST",
            "address_2": "210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025402",
            "telephone_number": "415-252-3970",
            "fax_number": "415-252-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKUTIMINU",
        "first_name": "ABAYOMI",
        "middle_name": "BABATUNDE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.