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FUNMILOLA UMOREN NP
NPI 1124665468
Nurse Practitioner - Psychiatric/Mental Health in Antioch, CA

Active since December 05, 2019PECOS Enrolled
2435 KAISER WAY, ANTIOCH, CA 94531(661) 345-2005 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Dec 5, 2019 (2 updates tracked since 2019).

About Funmilola Umoren Np NPPES

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

FUNMILOLA UMOREN NP (NPI 1124665468) is an individual psychiatric/mental health provider in Antioch, California, licensed in California (95013133) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Pablo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124665468
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFUNMILOLA UMORENCredential: NP
Location Address2435 KAISER WAYAntioch, CA 94531-9061
Mailing Address2435 Kaiser WayAntioch, CA 94531-9061 · (661) 345-2005
Phone(661) 345-2005
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 5, 2019
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1124665468 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 · 95013133
2435 KAISER WAY, Antioch, CA 94531
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Secondary Practice Location 1

Location 12523 El Portal Dr Ste 201San Pablo, CA 94806-3305 · Phone (510) 482-2244

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Funmilola Umoren Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254744048
PECOS Enrollment IDI20210118000180
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 94531 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

BAY METROPOLITAN HOME HEALTH SERVICES LLC
Home Health
2435 KAISER WAY
ANTIOCH, CA 94531
Contra Costa County (661) 345-2005

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 Funmilola Umoren's NPI number?

The NPI number for Funmilola Umoren is 1124665468. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Funmilola Umoren located?

Funmilola Umoren practices at 2435 Kaiser Way, Antioch, CA 94531. The listed phone number is (661) 345-2005.

What is Funmilola Umoren's specialty?

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

Is Funmilola Umoren enrolled in Medicare?

Yes. Funmilola Umoren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Funmilola Umoren was last updated on May 25, 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.