FAVOUR OLEKANMA
NPI 1205415353
Nurse Practitioner - Family in San Bernardino, CA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
2601 DEL ROSA AVE STE 242, SAN BERNARDINO, CA 92404(840) 261-6690 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Favour Olekanma NPPES

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

FAVOUR OLEKANMA (NPI 1205415353) is an individual family provider in San Bernardino, California, licensed in California (F06200008) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205415353
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFAVOUR OLEKANMA
Location Address2601 DEL ROSA AVE STE 242San Bernardino, CA 92404-4400
Mailing Address2601 Del Rosa Ave Ste 242San Bernardino, CA 92404-4400 · (840) 261-6690
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2021
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1205415353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F06200008
2601 DEL ROSA AVE STE 242, San Bernardino, CA 92404

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Favour Olekanma 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 ID8022418607
PECOS Enrollment IDI20210618001214
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

5

Medicare enrollment records show Favour Olekanma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1100 E ORANGETHORPE AVE STE 200X
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Minghsun Liu MD PC
  • 95 clinicians in this Medicare group
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Primary Care
17337 VENTURA BLVD STE 220
Encino, CA 91316
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
47 services13 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
36 services26 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
21 services12 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

Home Health
2601 DEL ROSA AVE STE 242
SAN BERNARDINO, CA 92404

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 Favour Olekanma's NPI number?

The NPI number for Favour Olekanma is 1205415353. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Favour Olekanma located?

Favour Olekanma practices at 2601 Del Rosa Ave Ste 242, San Bernardino, CA 92404. The listed phone number is (840) 261-6690.

What is Favour Olekanma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Favour Olekanma enrolled in Medicare?

Yes. Favour Olekanma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Favour Olekanma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Favour Olekanma reassigns Medicare benefits to 5 organizations: Wound Care First Corp (Anaheim, CA), Minghsun Liu, M.D., PC (Los Angeles, CA), Wt Health Of California LLC (Los Angeles, CA), Infinity Mobile Medical Group (Encino, CA) and Grow Healthcare Group PC (San Jose, 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 Favour Olekanma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Favour Olekanma accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross and Blue Shield of Texas list Favour Olekanma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Favour Olekanma was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.