OLUBUKOLA AJAYI OBIDI NP
NPI 1194926469
Nurse Practitioner - Women's Health in San Diego, CA
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.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olubukola Ajayi Obidi Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Olubukola Obidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
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 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.
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.
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 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.
Where is Olubukola Obidi located?
Olubukola Obidi practices at 1075 Camino Del Rio S, San Diego, CA 92108. The listed phone number is (619) 881-4500.
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.
Is Olubukola Obidi enrolled in Medicare?
Yes. Olubukola Obidi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Olubukola Obidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olubukola Obidi reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Olubukola Obidi'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 Olubukola Obidi was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Olubukola Ajayi Obidi, NP · NPI 1194926469
Women's Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 31, 2007.
## Identity
- **NPI:** 1194926469 (Entity type: Individual)
- **Enumerated:** May 31, 2007
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** RN 673401 NP 16839 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1075 CAMINO DEL RIO S, San Diego, CA 92108-3538
- **Phone:** (619) 881-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194926469) · Data from the CMS NPPES public registry.