Ololade Olamide Obafemi, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95005741 Issued in CA

Practice address

12954 Hawthorne Boulevard, Suite 104
Hawthorne Morningside Medical Clinic
Hawthorne, CA 90250

Phone

(310) 679-0269

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: oobafemi648715@direct.memorialcare.org

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.

• Hawthorne Morningside Medical Clinic

  • Pediatrics Physician
  • Hawthorne, CA
  • NPI 1477692408
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1669993358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 COLORADO CIR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452855",
            "telephone_number": "310-985-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BOULEVARD, SUITE 104",
            "address_2": "HAWTHORNE MORNINGSIDE MEDICAL CLINIC",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-679-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAFEMI",
        "first_name": "OLOLADE",
        "middle_name": "OLAMIDE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95005741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nunberg, PHARMD
• Bernard Ngonadi Nwaogwugwu, LVN
• Ifeoma Stella Nweke
• John Keith Nylund, MD
• Deysi Barrientos O'Connell
• Obiageli Ifeoma Obah, NP
• Karla M Ocampo I
• Ocean View Specialists
• Luna Katharina Ochoa, RDH
• Hanako Oda

• Primary Care Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.