Ofunneka Omekam, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86106943 Issued in CA

Practice address

7912 West LN Ste 221
Stockton, CA 95210-3159

Phone

(916) 670-5349

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ofunneka.omekam.p1@direct.cmcentersinc.nextgenshare.com

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.

• Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Esparto, CA
  • NPI 1588729180
  Medicare reassignment NPD
• Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vacaville, CA
  • NPI 1417012329
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1942941455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MURRAY DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 WEST LN STE 221",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103159",
            "telephone_number": "916-670-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEKAM",
        "first_name": "OFUNNEKA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86106943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad D. Olson
• Evangelina Dori Olson, BSW
• Julianna Olson, LVN
• Kathryn Olson
• Cierra A Olvera
• Josephine N Omlin
• Omni Ipa Medical Group, Inc.
• Afsaneh Omroni
• On Time Transportation Services
• Dat On, L.AC.

• Registered Dietitian in Stockton, CA
• Providers in Stockton, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.