Active NPI
Olusegun Z. Salako M.D. Inc
- Obstetrics & Gynecology Physician
- Wilmington, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G67118
- Legal business name
- OLUSEGUN Z. SALAKO M.D. INC
- Practice address
- 215 W Anaheim St
Wilmington, CA 90744-4418 - Phone
- (310) 816-3111
- Fax
- (310) 816-3116
- NPI assigned
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thecla N. Mgbojirikwe, M.D.
- Title
- Pediatric Specialist/Medical Direct
- Phone
- (562) 218-6264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G54804 | CA | |
| Specialist | 174400000X | A83572 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | G67118 | CA | Primary |
Addresses
Primary practice location
215 W Anaheim St
Wilmington, CA 90744-4418
Mailing address
215 W Anaheim St
Wilmington, CA 90744-4418
Phone (310) 816-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098551 | Medicaid | CA | |
| G54804 | Other | CA | MEDICARE SOUTHERN CA. |
Other names 1
- Comfort Medical Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Comfort Family Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Long Beach, CA
- NPI 1699852871
Locations
215 W Anaheim St
Wilmington, CA 90744
Phone (714) 677-2981
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351728000000",
"number": "1679746713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W ANAHEIM ST",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907444418",
"telephone_number": "310-816-3111",
"fax_number": "310-816-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W ANAHEIM ST",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907444418",
"telephone_number": "310-816-3111",
"fax_number": "310-816-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLUSEGUN Z. SALAKO M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2012-11-01",
"status": "A",
"authorized_official_last_name": "MGBOJIRIKWE",
"authorized_official_first_name": "THECLA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PEDIATRIC SPECIALIST/MEDICAL DIRECT",
"authorized_official_telephone_number": "562-218-6264",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G54804",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A83572",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G67118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098551",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SOUTHERN CA.",
"identifier": "G54804",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.