John Obegolu

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

556373 Issued in CA

Practice address

110 Benmore Dr
Hayward, CA 94542-7936

Phone

(415) 517-9247

NPI assigned

Sep 27, 2021

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

Practice roles

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.

• Arise Hospice and Palliative LLC

  • Community Based Hospice Care Agency
  • Stockton, CA
  • NPI 1730058140
  NPD Authorized official
• Golden Life Home Health LLC

  • Home Health Agency
  • Hayward, CA
  • NPI 1356174551
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1821769092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BENMORE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945427936",
            "telephone_number": "415-517-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BENMORE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945427936",
            "telephone_number": "415-517-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEGOLU",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "556373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin O'Connor
• Jessica O'Dea-Bumanglag
• Perla O'Shea
• Shelley Leann O'Sullivan, RAS
• Oakrheem
• Holly Elizabeth Warren Oberg, RN, PHN
• Myla Oquendo Ocampo-Wong, R.D.
• Stephanie Ocegueda
• Aldwyn Oceguera-Gonzalez
• Ana Ochoa

• Administrator Registered Nurse in Hayward, CA
• Providers in Hayward, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.