Active NPI
Omoyinka Orekoya
- Clinical Social Worker
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW106330
- Practice address
- 12640 Hesperia Rd Ste D
Victorville, CA 92395-7753 - Phone
- (760) 684-4146
- Fax
- (760) 684-8111
- NPI assigned
- Oct 13, 2020
- Last updated
- Aug 18, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | ASW106330 | CA | Primary |
| Community Health Worker | 172V00000X | CA |
Addresses
Primary practice location
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Mailing address
12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4146
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12640 Hesperia Rd
Suite D
Victorville, CA 92395-7753
Phone (760) 684-4143
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW106330 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients |
Locations
44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290
36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315
12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143
12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifekind Health
- Pain Medicine (Anesthesiology) Physician
- Rancho Mirage, CA
- NPI 1922440684
-
dba Lifekind Health
- Durable Medical Equipment & Medical Supplies
- Indio, CA
- NPI 1861389199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1891393799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD STE D",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4146",
"fax_number": "760-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD STE D",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-4146",
"fax_number": "760-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OREKOYA",
"first_name": "OMOYINKA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW106330",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.