Peter A Oginni, OPS MANAGER/OWNER

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

341436 Issued in CA

Practice address

3400 Watt Ave
Suite101
Sacramento, CA 95821-3602

Phone

(916) 977-0512

Fax

(916) 484-1014

NPI assigned

Jun 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Simod Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Sacramento, CA
  • NPI 1831414218
  NPD (past) Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1942437900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214913",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958210913",
            "telephone_number": "916-977-0512",
            "fax_number": "916-484-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WATT AVE",
            "address_2": "SUITE101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213602",
            "telephone_number": "916-977-0512",
            "fax_number": "916-484-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGINNI",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OPS MANAGER/OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "341436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nosakhare S Ogiamien
• Cynthia Ogiemwanye, BS
• Mason Ogihara
• Jessica Lauren Ogilvie, LMFT
• Kafayat Oginni
• Naty P Oglesby, R.N.
• William Christopher Oglesby
• Ruth A Ogot, DNP-C
• Nallely Oguin
• Esosa Ogunbor

• Durable Medical Equipment & Medical Supplies in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.