Irene Imuetiyan Obanor, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95019425 Issued in CA

Practice address

6303 Owensmouth Ave FL 10
Woodland Hills, CA 91367-2262

Phone

(626) 254-1400

Fax

(626) 447-4792

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761

  CA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929

  CA

  Medicare reassignment NPD
• Salvage Psychiatry a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Montclair, CA
  • NPI 1043937923

  CA

  Medicare reassignment
• Inland Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Claremont, CA
  • NPI 1336463520
  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990

  Psychiatric/Mental Health

  NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1588069769
  NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD
• Los Angeles County Department of Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South El Monte, CA
  • NPI 1154337418
  NPD (past)
• Renewing Hope Family Counseling Center, Inc

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1235649260
  NPD (past)
• Renewing Hope Strategies

  • Mental Health Counselor
  • Riverside, CA
  • NPI 1033802368
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1598020299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE FL 10",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672262",
            "telephone_number": "626-254-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 OWENSMOUTH AVE FL 10",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672262",
            "telephone_number": "626-254-1400",
            "fax_number": "626-447-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Chicago Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072366",
            "country_code": "US",
            "telephone_number": "951-465-3664",
            "fax_number": "888-542-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBANOR",
        "first_name": "IRENE",
        "middle_name": "IMUETIYAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019425",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "793102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denice I O'Bryan, PA
• Theodore X. O'Connell, MD
• Patrice O'Garro
• Daniel Oakley
• Roberta Waismann Obadia, M.D.
• Lisa Ober, PA
• Chukwuemeka Uzochukwu Obi
• Gabriela V Obrocea, M.D.
• Darren James Ocampo
• Vanessa Ocampo

• All providers in Woodland Hills, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.