Individual provider Active NPI

Omar Musa, FNP-C

  • Family Nurse Practitioner
  • Wofford Heights, CA
National Provider Identifier
1891323960
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011830 Issued in CA
Practice address
67 Evans Road
Wofford Heights, CA 93285-9640
Phone
(760) 376-2276
Fax
(760) 376-4801
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011830 CA Primary

Addresses

Primary practice location

67 Evans Road
Wofford Heights, CA 93285-9640

Mailing address

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8461

Other practice location 1

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311

Other practice location 2

250 N See Vee Ln
Bishop, CA 93514-8130
Phone (760) 873-8461

Other identifiers 1

IdentifierTypeStateIssuer
THP11576FMedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207002389 CA Practitioner - Nurse Practitioner 3274945704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toiyabe Indian Health Project IncGroup PAC ID 2668419813, 21 clinicians

Practice addresses (Care Compare)

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8464

Hospital & facility affiliations

  • Pioneer Home Health Care Home health agency, Bishop, CA, CCN 557008
  • Northern Inyo Hospital Hospital, Bishop, CA, CCN 051324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health Family Current Accepting new patients
Camarena Health CurrentSince Dec 15, 2021 Accepting new patients
Camarena Health CurrentSince Dec 15, 2021 Accepting new patients

Locations

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: omar.musa.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 4

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 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1891323960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 EVANS ROAD",
            "city": "WOFFORD HEIGHTS",
            "state": "CA",
            "postal_code": "932859640",
            "telephone_number": "760-376-2276",
            "fax_number": "760-376-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Sierra Park Rd",
            "address_purpose": "LOCATION",
            "city": "Mammoth Lakes",
            "state": "CA",
            "postal_code": "935462073",
            "country_code": "US",
            "telephone_number": "760-934-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 N See Vee Ln",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935148130",
            "country_code": "US",
            "telephone_number": "760-873-8461",
            "fax_number": "760-873-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSA",
        "first_name": "OMAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wofford Heights, CA

Sources for this page

Verify at the official NPI Registry.