Owen Omoregie

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

14119 Bucher Ave
Sylmar, CA 91342-1442

Phone

(310) 221-6336

NPI assigned

Apr 28, 2023

Last updated

Apr 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1669160420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 BUCHER AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421442",
            "telephone_number": "310-221-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 BUCHER AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421442",
            "telephone_number": "310-221-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOREGIE",
        "first_name": "OWEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Tree Pharmacy Inc (Olive Tree Pharmacy)
• Avelina Flores Olson
• Lissette Olvera
• Michelle Adesola Omisore
• Omnilectic Therapy Collective, a Licensed Clinical Social Worker Corporation (Omnilectic Therapy)
• Stephanie Ong, MD
• Katherine V Ongsingco, P.T.
• Alexandra Orchard, MD, PHD
• Sophia Sabrina Ordaz
• Rita Oregon, M.D.

• Rehabilitation Practitioner in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.