Individual provider Active NPI

Omolade Maurice-Diya, M.D

  • Interventional Pain Medicine Physician
  • Chico, CA
National Provider Identifier
1821354200
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A128419 Issued in CA
Practice address
10 Governors LN
Chico, CA 95926-1991
Phone
(530) 343-4757
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A128419 CA
Interventional Pain Medicine Physician 208VP0014X A128419 CA Primary

Addresses

Primary practice location

10 Governors LN
Chico, CA 95926-1991

Mailing address

5006 Guntren Rd
Chico, CA 95973-8513
Phone (352) 870-0139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141201002376 CA Practitioner - Pain Management 7113249178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Southern California Keck School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

605 W E Ave
Chico, CA 95926-7201
Phone (530) 343-4757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
95
Improvement activities
40
Cost
39.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128419CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Anesthesia and Pain Affiliates, Inc. CurrentSince May 12, 2020 Accepting new patients
Norcal Anesthesia and Pain Affiliates, Inc. CurrentSince May 12, 2020 Accepting new patients

Locations

615 W East Ave
Chico, CA 95926
Phone (530) 487-8114

647 W East Ave
Chico, CA 95926
Phone (530) 343-4757

Organizations & group practices 3

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.

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1821354200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 GUNTREN RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738513",
            "telephone_number": "352-870-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOVERNORS LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261991",
            "telephone_number": "530-343-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE-DIYA",
        "first_name": "OMOLADE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A128419",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A128419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.