1. Home
  2. Directory
  3. California
  4. Gardena
  5. Nurse Practitioner
  6. NPI Profile

BLESSING OTANIYEN OMORUYI PMHNP
NPI 1003632399
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Active since December 02, 2024PECOS Enrolled
1229 W 164TH ST APT D, GARDENA, CA 90247(323) 674-3445(323) 544-4319 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blessing Otaniyen Omoruyi Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLESSING OTANIYEN OMORUYI PMHNP (NPI 1003632399) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (95033128) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003632399
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBLESSING OTANIYEN OMORUYICredential: PMHNP
Location Address1229 W 164TH ST APT DGardena, CA 90247-4859
Mailing Address1229 W 164th St Apt DGardena, CA 90247-4859 · (323) 674-3445 · Fax (323) 544-4319
Phone(323) 674-3445
Fax(323) 544-4319
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 2, 2024
NPPES CertifiedNovember 30, 2024
✔ NPI 1003632399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95033128
1229 W 164TH ST APT D, Gardena, CA 90247
Open in Google Maps ↗

Other Names 1

Former Name (1)Blessing Otaniyen Omwanghe Pmhnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blessing Otaniyen Omoruyi Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870067713
PECOS Enrollment IDI20260701003945
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Blessing Omoruyi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shine Medical Of Ca PC
312 mi
Psychiatry
325 S 1ST ST STE 200
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1942935473 (888) 380-2028
Grow Healthcare Group PC
312 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLESSING OMORUYI NURSING INC
Nurse Practitioner (Psychiatric/Mental Health)
1229 W 164TH ST APT D
GARDENA, CA 90247
Los Angeles County (832) 000-0000
LADAWN REHABILITATION AND BEHAVIORAL HEALTHCARE SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
1229 W 164TH ST APT D
GARDENA, CA 90247
Los Angeles County (323) 674-3445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blessing Omoruyi's NPI number?

The NPI number for Blessing Omoruyi is 1003632399. It was assigned to this individual provider in the NPPES registry on December 2, 2024. The provider is also known as Blessing Otaniyen Omwanghe Pmhnp.

Where is Blessing Omoruyi located?

Blessing Omoruyi practices at 1229 W 164th St Apt D, Gardena, CA 90247. The listed phone number is (323) 674-3445.

What is Blessing Omoruyi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blessing Omoruyi enrolled in Medicare?

Yes. Blessing Omoruyi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Blessing Omoruyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blessing Omoruyi reassigns Medicare benefits to 2 organizations: Shine Medical Of Ca PC (San Jose, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blessing Omoruyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blessing Omoruyi accept?

Health plans from Blue Cross and Blue Shield of Texas list Blessing Omoruyi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blessing Omoruyi was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.