OYEBOLA OMOFADEKE OYELADE
NPI 1154964849
Nurse Practitioner - Psychiatric/Mental Health in Santa Clara, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since October 25, 2019PECOS EnrolledAccepts Medicare Assignment

5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(281) 818-0667 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2021, Oct 25, 2019 (2 updates tracked since 2019).

On this page

About Oyebola Omofadeke Oyelade NPPES

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

OYEBOLA OMOFADEKE OYELADE (NPI 1154964849) is an individual psychiatric/mental health provider in Santa Clara, California, licensed in California (95012789) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154964849

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOYEBOLA OMOFADEKE OYELADE

Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140

Mailing Address2311 Mustang Dr Ste 200Grapevine, TX 76051-1010 · (281) 818-0667

Phone(281) 818-0667

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 25, 2019

Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1154964849 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

Licenses✔ Licensed in CA · 95012789✔ Licensed in WA · AP61145520✔ Licensed in TX · 1019705

5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12311 Mustang Dr Ste 200Grapevine, TX 76051 · Phone (281) 818-0667

Location 21481 Windsor DrSan Bernardino, CA 92404-5416 · Phone (909) 275-3665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Oyebola Omofadeke Oyelade 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 ID9032557533

PECOS Enrollment IDI20240403001599

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 95054 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 18

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

DR. JENNIFER STORLIE PHD

Psychologist (Clinical)