Individual provider Active NPI

Omotola Tsarumi, MD

  • Psychiatry Physician
  • Van Nuys, CA
National Provider Identifier
1710369376
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
277604 Issued in MA
Practice address
14541 Delano St
Van Nuys, CA 91411-2820
Phone
(617) 467-0312
NPI assigned
Jun 19, 2015
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 277604 MA Primary

Addresses

Primary practice location

14541 Delano St
Van Nuys, CA 91411-2820

Mailing address

332 Washington St Ste 360
Wellesley, MA 02481-6204
Phone (617) 668-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ, OH, CA, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20191216001913 MA Practitioner - Psychiatry 6507290012 Reassigns benefits to 6 organizations
I20211004003086 NJ Practitioner - Psychiatry 6507290012 Reassigns benefits to 1 organization
I20231009000942 OH Practitioner - Psychiatry 6507290012 Reassigns benefits to 1 organization
I20240205000146 CA Practitioner - Psychiatry 6507290012 Reassigns benefits to 1 organization
I20240709003517 FL Practitioner - Psychiatry 6507290012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

115 Mill St
Belmont, MA 02478-1064
Phone (617) 668-1239

1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113

130 S Indian River Dr
Suite 202
Fort Pierce, FL 34950-4353
Phone (310) 515-8113

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

332 Washington St
Suite 360
Wellesley, MA 02481-6204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277604MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tola Tsarumi MD LLC Psychiatry CurrentSince Aug 16, 2023 Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 12, 2019 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Jan 22, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jun 29, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 12, 2019 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Dec 13, 2023 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Feb 24, 2024 Accepting new patients
Dr Tola Tsarumi MD LLC Psychiatry Past Accepting new patients
The McLean Hospital Corporation Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

1320 Willow Pass Rd
Ste 600
Concord, CA 94520
Phone (925) 434-4858

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

3031 Tisch Way
San Jose, CA 95128
Phone (408) 260-0208

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

332 Washington St
Ste 360
Wellesley Hills, MA 02481
Phone (617) 668-1239

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

5605 Westerville Rd
Ste C
Westerville, OH 43081
Phone (844) 777-9246

Interoperability endpoints

  • Direct secure messaging: tsarumi.omotola.mcl@direct.partners.masshiway.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1710369376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 360",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816204",
            "telephone_number": "617-668-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14541 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112820",
            "telephone_number": "617-467-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSARUMI",
        "first_name": "OMOTOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "277604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.