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GODWIN OKUNGBOWA
NPI 1104835966
Physician Assistant - Medical in Sacramento, CA

Active since August 07, 2006PECOS Enrolled
3000 L ST, SACRAMENTO, CA 95816(916) 737-7121(916) 737-7135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Godwin Okungbowa NPPES

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

GODWIN OKUNGBOWA (NPI 1104835966) is an individual medical provider in Sacramento, California, licensed in California (PA17828) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104835966
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGODWIN OKUNGBOWA
Location Address3000 L STSacramento, CA 95816-5248
Mailing Address3441 Marysville BlvdSacramento, CA 95838-4512 · (916) 563-7230 · Fax (916) 563-7229
Phone(916) 737-7121
Fax(916) 737-7135
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104835966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA17828
3000 L ST, Sacramento, CA 95816
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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 (PECOS)

Godwin Okungbowa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
10 suppliers19 claims39 services$2.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$53.32 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 5

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

INNA SHTURMAN, D.D.S. A PROFESSIONAL CORPORATION
Dentist (General Practice)
3000 L ST, SUITE 104
SACRAMENTO, CA 95816
Sacramento County (916) 737-6453
DR. INNA SHTURMAN
Dentist (General Practice)
3000 L ST, SUITE 104
SACRAMENTO, CA 95816
Sacramento County (916) 737-6453
BRIAN D TRACY, OD
Optometrist
3000 L ST, STE 100
SACRAMENTO, CA 95816
Sacramento County (916) 454-5729
DR. BRIAN D TRACY O.D.
Optometrist
3000 L ST, SUITE 100
SACRAMENTO, CA 95816
Sacramento County (916) 454-5729
DR. OLGA A. BECKINGER D.D.S.
Dentist (General Practice)
3000 L ST, SUITE 104
SACRAMENTO, CA 95816
Sacramento County (916) 737-6453

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 Godwin Okungbowa's NPI number?

The NPI number for Godwin Okungbowa is 1104835966. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Godwin Okungbowa located?

Godwin Okungbowa practices at 3000 L St, Sacramento, CA 95816. The listed phone number is (916) 737-7121.

What is Godwin Okungbowa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Godwin Okungbowa enrolled in Medicare?

Yes. Godwin Okungbowa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Godwin Okungbowa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.