Individual provider Active NPI

Osamede Obanor, M.D.

  • Hospitalist Physician
  • Woodland, CA
National Provider Identifier
1801279906
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A172598 Issued in CA
Practice address
632 W Gibson Rd
Woodland, CA 95695-5169
Phone
(530) 668-2600
Fax
(530) 661-0880
NPI assigned
Jul 7, 2015
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A172598 CA Primary

Addresses

Primary practice location

632 W Gibson Rd
Woodland, CA 95695-5169

Mailing address

3400 Data Dr
Attention: Credentialing and Payer Enrollment Dept
Rancho Cordova, CA 95670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AL, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181011002334 LA Practitioner - Internal MedicinePractitioner - Hospitalist 2466743323 Reassigns benefits to 3 organizations
I20211214001888 AL Practitioner - Internal Medicine 2466743323 Reassigns benefits to 3 organizations
I20230710003427 CA Practitioner - Internal Medicine 2466743323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172598CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc Current Accepting new patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 8, 2025 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Nov 1, 2021 Accepting new patients
The DCH Health Care Authority CurrentSince May 12, 2022 Accepting new patients
New Orleans Physician Services Inc Internal Medicine CurrentSince Oct 31, 2020 Accepting new patients
Alpha Health Services CurrentSince Aug 20, 2020 Accepting new patients
Whatley Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Whatley Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 1, 2026 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Capstone Health Services Foundation PC CurrentSince Nov 1, 2021 Accepting new patients
The DCH Healthcare Authority CurrentSince May 12, 2022 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 8, 2025 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince May 29, 2023 Accepting new patients
Kristin N Smith PLLC Past Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

6600 Bruceville Rd
Sacramento, CA 95823

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

3201 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 354-2103

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

Interoperability endpoints

  • Direct secure messaging: osamede.obanor.p1@direct.umc.nextgenshare.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1801279906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955169",
            "telephone_number": "530-668-2600",
            "fax_number": "530-661-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANOR",
        "first_name": "OSAMEDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A172598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.