Active NPI
Bridget O. Oduni
- Case Management Registered Nurse
- Fairfield, CA
National Provider Identifier
1891101150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 427144
- Practice address
- 275 Beck Ave # Ms 5-175
Fairfield, CA 94533-6804 - Phone
- (707) 784-8673
- Fax
- (707) 421-7484
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 427144 | CA | Primary |
Addresses
Primary practice location
275 Beck Ave # Ms 5-175
Fairfield, CA 94533-6804
Mailing address
275 Beck Ave # Ms 5-175
Fairfield, CA 94533-6804
Phone (707) 784-8673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 427144 | CA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B. Gale Wilson Mtu | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Fairfield, CA
- NPI 1699401018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1891101150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 BECK AVE # MS 5-175",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336804",
"telephone_number": "707-784-8673",
"fax_number": "707-421-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 BECK AVE # MS 5-175",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336804",
"telephone_number": "707-784-8673",
"fax_number": "707-421-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUNI",
"first_name": "BRIDGET",
"middle_name": "O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "427144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.