Oluyombo Ojo Ojebiyi, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

53583 Issued in CA

Practice address

16245 Desert Knoll Dr
Victorville, CA 92395-4011

Phone

(760) 955-9555

Fax

(760) 955-8558

NPI assigned

Mar 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oluyombo.ojebiyipa.p1@direct.jwch.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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment
• JWCH Institute Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1407808058
  Medicare reassignment
• Cal Choice Family Practice Inc

  • Clinic/Center
  • Victorville, CA
  • NPI 1164448593
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1265030886
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• JWCH Institute Inc

  • Federally Qualified Health Center (FQHC)
  • Lancaster, CA
  • NPI 1073209177
  NPD
• JWCH Institute, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295201044
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1972964401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16245 DESERT KNOLL DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954011",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16245 DESERT KNOLL DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954011",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEBIYI",
        "first_name": "OLUYOMBO",
        "middle_name": "OJO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53583",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "53583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odochi Nwagwu MD Inc
• Imajanti Oei, REGISTEREDPHARMACIST
• Officium Urgent Care, Inc.
• Rita A. Ogunlana, PSY.D
• Ikechukwu Anele Ohiaeri, M.D.
• Reilly Thomas Oki
• Opeyemi Oladele, M.D.
• Luisa Fernanda Olano Botero, DDS
• Marlen Olmos
• Priscilla Olmos, B.S.

• Surgical Physician Assistant in Victorville, CA
• Providers in Victorville, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.