Oluyemisi Aderonke Olubi, MD, MPH.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

C144689 Issued in CA

Practice address

760 S Washburn Ave
Ste 22
Corona, CA 92882

Phone

(951) 638-1315

NPI assigned

Sep 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Dr. Oluyemisi Aderonke Akinhanmi Former name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

General Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCEDDD/Endpoint/JCEDDD

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.

• Precision Health Consulting & Clinic

  • Occupational Medicine Clinic/Center
  • Corona, CA
  • NPI 1083471445
  Medicare reassignment NPD Authorized official
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Family Medicine

  Medicare reassignment NPD
• Riverside Medical Clinic, Inc

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment
• Riverside Medical Clinic, Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415

  Family Medicine

  NPD
• Ade Osibamiro MD Inc

  • General Practice Physician
  • Carson, CA
  • NPI 1073547220
  NPD (past)
• Care Plus Medical Group, Inc.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1336259118
  NPD (past)
• Bullhead City Clinic Corp

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD (past)
• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1942496096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD",
            "address_2": "STE 1C #507",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928838494",
            "telephone_number": "612-306-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S WASHBURN AVE",
            "address_2": "STE 22",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-638-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Turqoise Road",
            "address_2": "Bullhead City Clinic Corporation/ Silver Creek Family P",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "86442",
            "country_code": "US",
            "telephone_number": "928-763-9290 x25",
            "fax_number": "928-763-7628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15302 El Prado Rd",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917107659",
            "country_code": "US",
            "telephone_number": "909-393-7222",
            "fax_number": "909-393-7312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 S Washburn Ave",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "country_code": "US",
            "telephone_number": "951-638-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLUBI",
        "first_name": "OLUYEMISI",
        "middle_name": "ADERONKE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-22",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "AZ",
            "license": "41044",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MN",
            "license": "19788",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "41044",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "41044",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "C144689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461441",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9088408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUYEMISI",
            "last_name": "AKINHANMI",
            "middle_name": "ADERONKE",
            "prefix": "DR.",
            "credential": "MD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Michael Alexander Ontiveros, LVN

• Occupational Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.