Active NPI
Osamamwode Sunday Ogbeiwi, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 17752
- Practice address
- 101 W Central Ave
Suite B120
Brea, CA 92821-7515 - Phone
- (714) 709-3154
- NPI assigned
- Mar 12, 2008
- Last updated
- Nov 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17752 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 17752 | CA | Primary |
Addresses
Primary practice location
101 W Central Ave
Suite B120
Brea, CA 92821-7515
Mailing address
954 Barbara LN
Pomona, CA 91767-4118
Phone (714) 709-3154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007010341 | Other | CA | FNP - ANCC |
| 17752 | Other | CA | FNP-BC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Santa Monica Blvd
Suite 230
Santa Monica, CA 90401-2625
Phone (310) 993-4103
933 S Sunset Ave
Suite 105
West Covina, CA 91790-3410
Phone (626) 813-1222
Hospital & facility affiliations
- Los Angeles Community Hospital
- L a Downtown Medical Center
- Southern California Hospital at Hollywood
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17752 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aimant Hospice, Inc. | Current | Accepting new patients | |
| Moiez Khankhanian, M.D. Inc | Current | Accepting new patients | |
| Anita Home Health, Inc. | Current | Accepting new patients | |
| Globe Nursing NP Prof Corp | Family | Current | Accepting new patients |
| Oceanside Medical Group, a Medical Corporation | Current | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
320 Cattle Call Dr
Brawley, CA 92227
Phone (760) 344-5431
1100 W Morton Ave
Porterville, CA 93257
Phone (559) 782-1509
7500 Hellman Ave
Rosemead, CA 91770
Phone (616) 288-1160
701 Santa Monica Blvd
Ste 230
Santa Monica, CA 90401
Phone (310) 993-4103
44280 Campanula Way
Temecula, CA 92592
Phone (951) 302-1122
867 E 11th St
Upland, CA 91786
Phone (909) 227-0750
640 S Sunset Ave
Ste 102
West Covina, CA 91790
Phone (626) 338-9000
933 S Sunset Ave
Ste 105
West Covina, CA 91790
Phone (626) 813-1222
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Anita Home Health Inc | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Nov 18, 2018 Nov 18, 2018 Nov 18, 2018 Nov 18, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- El Monte, CA
- NPI 1477088037
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- West Covina, CA
- NPI 1487089702
-
- Psychiatry Physician
- Santa Monica, CA
- NPI 1861770513
-
- Psychiatry Physician
- West Covina, CA
- NPI 1407157373
-
- Community Based Hospice Care Agency
- El Monte, CA
- NPI 1386049229
-
- Home Health Agency
- El Monte, CA
- NPI 1477088037
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Angeles Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
Hospital
-
dba Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1780183335
-
- Rehabilitation Hospital Unit
- Los Angeles, CA
- NPI 1982351565
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1609047166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 BARBARA LN",
"city": "POMONA",
"state": "CA",
"postal_code": "917674118",
"telephone_number": "714-709-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W CENTRAL AVE",
"address_2": "SUITE B120",
"city": "BREA",
"state": "CA",
"postal_code": "928217515",
"telephone_number": "714-709-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBEIWI",
"first_name": "OSAMAMWODE",
"middle_name": "SUNDAY",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17752",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "17752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP - ANCC",
"identifier": "2007010341",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP-BC",
"identifier": "17752",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.