Active NPI
Oluseyi Ayoola Obadeyi
- Interventional Pain Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A191388
- Practice address
- 100 E Valencia Mesa Dr Ste 310
Fullerton, CA 92835-3800 - Phone
- (714) 446-5200
- NPI assigned
- Apr 3, 2021
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A191388 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A191388 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr Ste 310
Fullerton, CA 92835-3800
Mailing address
2212 E 4TH St Ste 103
Santa Ana, CA 92705-3871
Phone (714) 571-7779
Other practice location 1
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Phone (714) 824-6565
Other practice location 2
11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009
Phone (714) 824-6560
Other practice location 3
11234 Anderson St
Loma Linda, CA 92350-1716
Phone (909) 558-4085
Other practice location 4
2212 E 4th St Ste 103
Santa Ana, CA 92705-3871
Phone (714) 571-7779
Other practice location 5
10565 Civic Center Dr Bldg Ste 165
Rancho Cucamonga, CA 91730-3853
Phone (909) 985-2211
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Wayne State University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10565 Civic CNTR Dr W BLDG
Suite 165
Rancho Cucamonga, CA 91730-3734
Phone (909) 985-2211
11370 Anderson St
Loma Linda, CA 92354-3450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191388 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Pain Medicine | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Pain Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Algos Inc., a Medical Corporation | Pain Medicine | Past | Accepting new patients |
Locations
13193 Central Ave
Chino, CA 91710
Phone (909) 464-9675
13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843
11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 424-0109
100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
10565 Civic Center Dr
Rancho Cucamonga, CA 91730
Phone (909) 527-3585
10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800
69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380
10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144
1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba Pacific Pain and Regenerative Medicine
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Irvine, CA
- NPI 1972914133
-
dba Synovation Medical Group
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
-
dba Synovation Medical Group
- Pain Medicine Physician
- Moreno Valley, CA
- NPI 1275101974
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatric Cardiology Physician
- Upland, CA
- NPI 1912343104
-
dba Synovation Medical Group
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1972182459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 E 4TH ST STE 103",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053871",
"telephone_number": "714-571-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR STE 310",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353800",
"telephone_number": "714-446-5200"
}
],
"practiceLocations": [
{
"address_1": "100 N State College Blvd Ste H",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928314236",
"country_code": "US",
"telephone_number": "714-824-6565",
"fax_number": "714-930-7926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11100 Warner Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927084009",
"country_code": "US",
"telephone_number": "714-824-6560",
"fax_number": "714-475-2154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923501716",
"country_code": "US",
"telephone_number": "909-558-4085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2212 E 4th St Ste 103",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053871",
"country_code": "US",
"telephone_number": "714-571-7779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10565 Civic Center Dr Bldg Ste 165",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917303853",
"country_code": "US",
"telephone_number": "909-985-2211",
"fax_number": "909-985-2244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBADEYI",
"first_name": "OLUSEYI",
"middle_name": "AYOOLA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-03",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A191388",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A191388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- Mary Kay O'Connor, MFT
- Audrey O'Neill
- Cristina O'Rourke, PA-C
- Christopher Patrick O'Toole
- O&P Station, Inc
- Oborn Trachtman & Aston Physical Therapy Sports Rehabilitation Center (OTA Physical Therapy)
- Brihtney Nykhol Obrien
- Oc Nutrition Practice PC
- Oc Pharmacy Specialists LLC (Sunrise Village Pharmacy)
- Oc United Together
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.