Aimebenomon Omoye Idahosa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T5926 Issued in TX

Practice address

2443 Fillmore St # 38015799
San Francisco, CA 94115-1814

Phone

(165) 086-5517

Fax

(165) 035-2522

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1821651910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 W 16TH ST UNIT F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084785",
            "telephone_number": "317-702-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 FILLMORE ST # 38015799",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "165-086-5517",
            "fax_number": "165-035-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAHOSA",
        "first_name": "AIMEBENOMON",
        "middle_name": "OMOYE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "TX",
            "license": "T5926",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T5926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Yoshiy Ichiuji, PHARM.D.
• Theresa Ick
• Cindy Fae Icke, L.AC., O.M.D.
• Ida Gorshteyn, DDS, Ms, Inc.
• Ida Vandaei Licensed Clinical Social Worker Corporation
• Kijafa Idalliah
• Elizabeth Ayaka Ide, PHARMD
• Namie Ideura
• Geleeza Joy Pintor Idolyantes
• Patricia A Idowu

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.