Individual provider Active NPI

Oluwaremilekun S Olutade, FNP-BC

  • Family Nurse Practitioner
  • Antioch, CA
National Provider Identifier
1609039981
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20546 Issued in CA
Practice address
320 E 18TH St Ste a
Antioch, CA 94509-2451
Phone
(925) 434-8709
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20546 CA Primary

Addresses

Primary practice location

320 E 18TH St Ste a
Antioch, CA 94509-2451

Mailing address

1491 Saint James Pkwy
Concord, CA 94521-3010
Phone (510) 557-4007

Other names 1

  • Remi S Olutade Other name

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

State licenses

LicenseStateTypeSpecialty
20546CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1609039981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 SAINT JAMES PKWY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213010",
            "telephone_number": "510-557-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 18TH ST STE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092451",
            "telephone_number": "925-434-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUTADE",
        "first_name": "OLUWAREMILEKUN",
        "middle_name": "S",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMI",
            "last_name": "OLUTADE",
            "middle_name": "S",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.