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

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: October 18, 2026.

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

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, maintains 2 additional practice locations, 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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Secondary Practice Locations 2

Location 117742 Aguamiel RdSan Diego, CA 92127-1036 · Phone (610) 931-4098
Location 2320 1st St N Ste 101Jacksonville Beach, FL 32250-6956 · Phone (866) 923-5038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Oluwaseun Ogunjimi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gn Medical Associates, Inc.
1.8 mi
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
NPI 1275576522 (888) 789-9585
Careconnectmd Ca PC
1.8 mi
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
NPI 1366063125 (888) 789-9585
Northeast Valley Health Corporation
44 mi
Federally Qualified Health Center (FQHC)
7223 N. FAIR AVENUE
Sun Valley, CA 91352
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1013199264 (818) 432-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3401 W SUNFLOWER AVE STE 250
SANTA ANA, CA 92704
Orange County (888) 789-9585
DR. WESAM G HOUSHAN MD
Internal Medicine
3401 W SUNFLOWER AVE STE 250
SANTA ANA, CA 92704
Orange County (714) 992-1182
MIA TURNER PA-C
Physician Assistant
3401 W SUNFLOWER AVE STE 250
SANTA ANA, CA 92704
Orange County (888) 789-9585
MAGDIEL DE LA ROSA AGACNP
Nurse Practitioner (Acute Care)
3401 W SUNFLOWER AVE STE 250
SANTA ANA, CA 92704
Orange County (888) 789-9585
DR. MICHAEL ANDREW PIETILA MD
Family Medicine
3401 W SUNFLOWER AVE STE 250
SANTA ANA, CA 92704
Orange County (888) 789-9585

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 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.

Where is Oluwaseun Ogunjimi located?

Oluwaseun Ogunjimi practices at 3401 W Sunflower Ave Ste 250, Santa Ana, CA 92704. The listed phone number is (888) 789-9585.

What is Oluwaseun Ogunjimi's specialty?

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

Is Oluwaseun Ogunjimi enrolled in Medicare?

Yes. Oluwaseun Ogunjimi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Oluwaseun Ogunjimi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwaseun Ogunjimi reassigns Medicare benefits to 3 organizations: Gn Medical Associates, Inc. (Costa Mesa, CA), Careconnectmd Ca PC (Costa Mesa, CA) and Northeast Valley Health Corporation (Sun Valley, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oluwaseun Ogunjimi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Oluwaseun Ogunjimi was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.