Olusola Abosede Opeseitan-Odumosu, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95011163 Issued in CA

Practice address

451 E Almond Ave Ste 103
Madera, CA 93637-5562

Phone

(559) 673-4000

NPI assigned

May 8, 2019

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prahalad B Jajodia MD Inc

  • Gastroenterology Physician
  • Fresno, CA
  • NPI 1619056082
  NPD

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1770148397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 E ECLIPSE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204615",
            "telephone_number": "559-273-0316",
            "fax_number": "559-433-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375562",
            "telephone_number": "559-673-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPESEITAN-ODUMOSU",
        "first_name": "OLUSOLA",
        "middle_name": "ABOSEDE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Isela Olivera
• Keith L Olsen, D.C.
• Elis Yngve Olson, MD
• Charles Edwin Olver, PHARM.D.
• Marchilles Yu Ong, RPT
• Robert Orcutt, PT
• Joanna Orea
• Daniel Anibal Orellana, MD
• Maria Guadalupe Oropeza
• Andrea Orozco Nunez

• Family Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.