Individual provider Active NPI

Sarah Sam Olelewe, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hawthorne, CA
National Provider Identifier
1689754665
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A56520 Issued in CA
Practice address
11712 Hawthorne Blvd
Hawthorne, CA 90250
Phone
(310) 679-9293
Fax
(310) 715-8686
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A56520 CA Primary

Addresses

Primary practice location

11712 Hawthorne Blvd
Hawthorne, CA 90250

Mailing address

PO Box 238
Agoura Hills, CA 91376-0238
Phone (310) 679-9293

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000205 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7517153851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11712 Hawthorne Blvd
Hawthorne, CA 90250-2324
Phone (310) 679-9293

Hospital & facility affiliations

  • Good Hope Home Health Home health agency, Upland, CA, CCN 557716
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Centinela Hospital Medical Ctr Inpatient rehabilitation facility, Inglewood, CA, CCN 05T739
  • Inglewood Health Care Center Nursing home, Inglewood, CA, CCN 055526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah S Olelewe, MD, Inc Geriatric Medicine CurrentSince Jul 5, 2010 Accepting new patients
Cranford L. Scott, M.D., Inc. Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Icm Medical Group, Inc. Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

11712 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 679-9293

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1689754665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913760238",
            "telephone_number": "310-679-9293",
            "fax_number": "310-679-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11712 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-679-9293",
            "fax_number": "310-715-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLELEWE",
        "first_name": "SARAH",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A56520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.