OLUBUKOLA AJAYI OBIDI NP
NPI 1194926469
Nurse Practitioner - Women's Health in San Diego, CA

Q: What is Olubukola Obidi's NPI number?

The NPI number for Olubukola Obidi is 1194926469. It was assigned to this individual provider in the NPPES registry on May 31, 2007. The provider is also known as Olubukola Boyewa Ajayi.

Q: What is Olubukola Obidi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Olubukola Obidi was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment

1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108(619) 881-4500 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Olubukola Ajayi Obidi Np NPPES

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

OLUBUKOLA AJAYI OBIDI NP (NPI 1194926469) is an individual women's health provider in San Diego, California, licensed in California (RN 673401 NP 16839) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194926469

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameOLUBUKOLA AJAYI OBIDICredential: NP

Location Address1075 CAMINO DEL RIO SSan Diego, CA 92108-3538

Mailing Address1927 Padilla DrColton, CA 92324-6611 · (305) 926-9716

Phone(619) 881-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 31, 2007

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1194926469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in CA · RN 673401 NP 16839✔ Licensed in FL · ARNP 9257610

1075 CAMINO DEL RIO S, San Diego, CA 92108

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Other Names 1

Former Name (1)Olubukola Boyewa Ajayi

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

Olubukola Ajayi Obidi Np 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 ID9537407424

PECOS Enrollment IDI20190219003487

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 92108 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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Other Providers at the Same Location NPPES 20

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

JEFF RUGGLES

Pharmacist