OLUWASEUN BOLADALE OGUNJIMI NURSE PRACTITIONER
NPI 1194243790
Nurse Practitioner in Santa Ana, CA

Q: What is Oluwaseun Ogunjimi's NPI number?

The NPI number for Oluwaseun Ogunjimi is 1194243790. It was assigned to this individual provider in the NPPES registry on September 2, 2017.

Q: What is Oluwaseun Ogunjimi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 02, 2017PECOS Enrolled

3401 W SUNFLOWER AVE STE 250, SANTA ANA, CA 92704(888) 789-9585 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Sep 2, 2017 (2 updates tracked since 2017).

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About Oluwaseun Boladale Ogunjimi Nurse Practitioner NPPES

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

OLUWASEUN BOLADALE OGUNJIMI NURSE PRACTITIONER (NPI 1194243790) is an individual nurse practitioner in Santa Ana, California, licensed in California (NP95006480) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).

NPPES Registry Identity

NPI1194243790

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameOLUWASEUN BOLADALE OGUNJIMICredential: NURSE PRACTITIONER

Location Address3401 W SUNFLOWER AVE STE 250Santa Ana, CA 92704

Mailing Address3401 W Sunflower Ave Ste 250Santa Ana, CA 92704-6948 · (888) 789-9585

Phone(888) 789-9585

Sole ProprietorYes

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2016

Enumeration DateSeptember 2, 2017

Last NPPES UpdateMarch 28, 20192 updates tracked since enumeration

✔ NPI 1194243790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP95006480

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95006480 (CA)

3401 W SUNFLOWER AVE STE 250, Santa Ana, CA 92704

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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)

Oluwaseun Boladale Ogunjimi Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183965312

PECOS Enrollment IDI20190416001189

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 92704 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 5

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

MR. STEVEN H FARBER M.D.

Internal Medicine (Cardiovascular Disease)