Active NPI
Adesoji Peter Orobiyi I
- Driver
- Canyon Country, CA
National Provider Identifier
1972228021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- B9244053
- Practice address
- 17356 Summit Hills Dr
Canyon Country, CA 91387-3196 - Phone
- (310) 678-6147
- NPI assigned
- Oct 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | B9244053 | CA | Primary |
Addresses
Primary practice location
17356 Summit Hills Dr
Canyon Country, CA 91387-3196
Mailing address
17356 Summit Hills Dr
Canyon Country, CA 91387-3196
Phone (310) 678-6147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B9244053 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1972228021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17356 SUMMIT HILLS DR",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913873196",
"telephone_number": "310-678-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17356 SUMMIT HILLS DR",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913873196",
"telephone_number": "310-678-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OROBIYI",
"first_name": "ADESOJI",
"middle_name": "PETER",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "B9244053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.