Oluwaremilekun Loretta Odebiyi

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3960 Industrial Blvd Ste 200
West Sacramento, CA 95691-5024

Phone

(916) 752-8965

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Horizon Family and Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Sacramento, CA
  • NPI 1487120374
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1649986100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915024",
            "telephone_number": "916-752-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915024",
            "telephone_number": "916-752-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEBIYI",
        "first_name": "OLUWAREMILEKUN",
        "middle_name": "LORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nugget Market Pharmacy
• Maria Luisa Nunez-Oiju, D.D.S.
• Carman L O'Hara
• Darlene Angelica Obregon
• Occupational Health Centers of California, a Medical Corporation
• Tanecia Nicole Offord Nesbitt
• Matthew Kaichi Oki, D.M.D.
• Ole Health
• Ole Health
• Ole Health

• All providers in West Sacramento, CA
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.