Active NPI
Olawande Oyebobola
- Assistive Technology Supplier Rehabilitation Counselor
- Van Nuys, CA
National Provider Identifier
1699702191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Rehabilitation Counselor
- License
- 103022
- Practice address
- 7255 Woodley Ave
Van Nuys, CA 91406-3421 - Phone
- (818) 989-4030
- Fax
- (818) 989-4126
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Rehabilitation Counselor | 225CA2500X | 103022 | CA | Primary |
Addresses
Primary practice location
7255 Woodley Ave
Van Nuys, CA 91406-3421
Mailing address
7255 Woodley Ave
Van Nuys, CA 91406-3421
Phone (818) 989-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103022 | CA | MD | Assistive Technology Supplier Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699702191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7255 WOODLEY AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063421",
"telephone_number": "818-989-4030",
"fax_number": "818-989-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 WOODLEY AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063421",
"telephone_number": "818-989-4030",
"fax_number": "818-989-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEBOBOLA",
"first_name": "OLAWANDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2500X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Supplier",
"state": "CA",
"license": "103022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.