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DR. JONATHAN OLUMOYA M.D.
NPI 1053668434
Family Medicine in Los Angeles, CA

Active since August 05, 2012PECOS EnrolledAccepts Medicare Assignment
2801 S SAN PEDRO ST, LOS ANGELES, CA 90011(323) 233-3100(323) 233-4100 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Olumoya M.d. NPPES

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

DR. JONATHAN OLUMOYA M.D. (NPI 1053668434) is an individual family medicine provider in Los Angeles, California, licensed in California (A131566) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2012).

NPPES Registry Identity

NPI1053668434
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN OLUMOYACredential: M.D.
Location Address2801 S SAN PEDRO STLos Angeles, CA 90011-2023
Mailing Address2801 S San Pedro StLos Angeles, CA 90011-2023 · (323) 233-3100 · Fax (323) 233-4100
Phone(323) 233-3100
Fax(323) 233-4100
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2012
Enumeration DateAugust 5, 2012
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1053668434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A131566
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2801 S SAN PEDRO ST, Los Angeles, CA 90011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Olumoya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567765696
PECOS Enrollment IDI20160125001310
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims26 services$6.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

BLANCA ALLEN NP
Nurse Practitioner (Family)
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
UNIVERSAL COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
UNIVERSAL COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
EMILY LARA
Physician Assistant
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
SERGIO CHAVEZ
Physician Assistant
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
TERESA SANCHEZ PA
Physician Assistant
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3400
ISABELLE MAI PAMART-TRAN
Physician Assistant (Medical)
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100
BIJAL PATEL PA
Physician Assistant
2801 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 233-3100

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 Jonathan Olumoya's NPI number?

The NPI number for Jonathan Olumoya is 1053668434. It was assigned to this individual provider in the NPPES registry on August 5, 2012.

Where is Jonathan Olumoya located?

Jonathan Olumoya practices at 2801 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (323) 233-3100.

What is Jonathan Olumoya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Olumoya enrolled in Medicare?

Yes. Jonathan Olumoya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Olumoya was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.