Active NPI
Celia Teyee Oyibu
- Nursing Home Administrator
- Lancaster, CA
National Provider Identifier
1902567381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 197608907
- Practice address
- 44161 11TH St W
Lancaster, CA 93534-4239 - Phone
- (661) 317-7354
- Fax
- (661) 941-9178
- NPI assigned
- Jan 6, 2022
- Last updated
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 6033190740 | CA | |
| Nursing Home Administrator | 376G00000X | 197608907 | CA | Primary |
Addresses
Primary practice location
44161 11TH St W
Lancaster, CA 93534-4239
Mailing address
44161 11TH St W
Lancaster, CA 93534-4239
Phone (661) 317-7354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465253796 | Medicaid | CA |
Other names 1
- Celia Teyee Wreh
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | healthcare | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 197608907 | CA | MD | Nursing Home Administrator |
| 6033190740 | CA | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Elderly Care Management Systems | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Lancaster, CA
- NPI 1093460164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1902567381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44161 11TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344239",
"telephone_number": "661-317-7354",
"fax_number": "661-941-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44161 11TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344239",
"telephone_number": "661-317-7354",
"fax_number": "661-941-9178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYIBU",
"first_name": "CELIA",
"middle_name": "TEYEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "6033190740",
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "197608907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465253796",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "healthcare",
"affiliation": "N",
"endpointDescription": "healthcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "44161 11th St W",
"city": "Lancaster",
"state": "CA",
"country_code": "US",
"postal_code": "935344239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CELIA",
"last_name": "WREH",
"middle_name": "TEYEE",
"credential": "BS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.