OLU OREDUGBA MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1215960968
Internal Medicine - Nephrology in Inglewood, CA

Active since July 08, 2006
575 E HARDY ST, SUITE 104, INGLEWOOD, CA 90301(310) 671-3148(310) 671-0878 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2025, May 29, 2025 (2 updates tracked since 2025).

About Olu Oredugba Md A Professional Medical Corporation NPPES

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

OLU OREDUGBA MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1215960968) is a healthcare organization registered as a nephrology in Inglewood, California and active in the NPI registry since July 2006. The organization lists Olu Oredugba, President, as its authorized official.

NPPES Registry Identity

NPI1215960968
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameOLU OREDUGBA MD A PROFESSIONAL MEDICAL CORPORATION
Location Address575 E HARDY ST, SUITE 104Inglewood, CA 90301-4036
Mailing Address8540 S Sepulveda BlvdLos Angeles, CA 90045 · (310) 671-3148 · Fax (310) 671-0878
Fax(310) 671-0878
Organization SubpartNo
Authorized OfficialOlu OredugbaPresident · (310) 671-3148
Enumeration DateJuly 8, 2006
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1215960968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · G39345
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
575 E HARDY ST, Inglewood, CA 90301

Other Identifiers 2

Other390007978CA · Railroad Medicare
MedicaidOOG393450CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olu Oredugba Md A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Olu Oredugba MD A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1215975115
575 E HARDY ST SUITE #104
Inglewood, CA 90301
(310) 671-3148
✔ PECOS✔ Accepts MedicareSame address

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

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 Olu Oredugba MD A Professional Medical Corporation's NPI number?

The NPI number for Olu Oredugba MD A Professional Medical Corporation is 1215960968. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Olu Oredugba MD A Professional Medical Corporation located?

Olu Oredugba MD A Professional Medical Corporation is located at 575 E Hardy St Suite 104, Inglewood, CA 90301. The listed phone number is (310) 671-3148.

What is Olu Oredugba MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Olu Oredugba MD A Professional Medical Corporation enrolled in Medicare?

Yes. Olu Oredugba MD A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olu Oredugba MD A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Olu Oredugba MD A Professional Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olu Oredugba MD A Professional Medical Corporation was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.