Abayomi Adesina Odubela, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51039 Issued in CA

Practice address

25470 Medical Center Dr Ste 205
Murrieta, CA 92562

Phone

(951) 676-4221

Fax

(951) 676-0032

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Yomi Adesina Odubela Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abayomi a Odubela M D a Professional CorporationGroup PAC ID 4789837477, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tender Home Health Home health agency, Granada Hills, CA, CCN 059525

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: aodubela182064@direct.llu.edu

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.

• Abayomi a. Odubela, M.D., a Professional Corporation

  dba Adet Total Healthcare

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1619183811
  Medicare reassignment Care Compare group Authorized official
• Temecula Valley Hospital Inc

  dba Temecula Valley Hospital

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  NPD (past)
• Universal Health Services of Rancho Springs Inc

  dba Southwest Healthcare - Inland Valley Hospital

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tender Home Health

  • Home Health Agency
  • Mission Hills, CA
  • NPI 1811226392
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1922108877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925860972",
            "telephone_number": "951-676-4221",
            "fax_number": "951-676-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 205",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-676-4221",
            "fax_number": "951-676-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866546",
            "country_code": "US",
            "telephone_number": "951-676-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUBELA",
        "first_name": "ABAYOMI",
        "middle_name": "ADESINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510390",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOMI",
            "last_name": "ODUBELA",
            "middle_name": "ADESINA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Glaiza Agnes Obias
• Maxwell Obinma
• Object Radiance, Inc.
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
• Vanessa Ochoa
• Gerald Oh
• Kaylene K Oh, N.P.
• Stephen Dongjin Oh, D.O.
• Natividad Ohlendorf, LVN
• Malisa Ojeda, MS

• Internal Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.

Verify at the official NPI Registry.