Emmanuel A Obatolu

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

FBN201309848 Issued in CA

Practice address

4100 Woodwillow LN
Elk Grove, CA 95758-3959

Phone

(916) 248-1618

Fax

(916) 533-6648

NPI assigned

Apr 14, 2014

Sex

Male

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

State licenses

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1750700142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 BELINDA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225109",
            "telephone_number": "916-248-1618",
            "fax_number": "916-533-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOODWILLOW LN",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583959",
            "telephone_number": "916-248-1618",
            "fax_number": "916-533-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBATOLU",
        "first_name": "EMMANUEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "FBN201309848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Grace O'Brien, NP
• Ashlyn O'Keefe
• Diane Marie O'Laughlin, RN, PHN, FNP
• Amanda Joy Oakes, DPT
• Oaks Family Care Inc.
• Chinenye Ngozika Obiaga, RN
• Nkem Obiaga
• Tara Courtney Obidigbo
• Denise Alejandra Ochoa, PA-C
• Jason Ochoa, FNP, PA-C

• Non-emergency Medical Transport (VAN) in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.