IBUNKUN OLORUNOJE PA
NPI 1255723797
Physician Assistant in Santa Ana, CA

Active since February 20, 2015PECOS Enrolled
76.52/100
CMS Quality Rating
210 N TUSTIN AVE, SANTA ANA, CA 92705(888) 959-5192 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Feb 5, 2025, Feb 2, 2021 and 1 more (4 updates tracked since 2019).

About Ibunkun Olorunoje Pa NPPES

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

IBUNKUN OLORUNOJE PA (NPI 1255723797) is an individual physician assistant in Santa Ana, California, licensed in California (62386) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255723797
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIBUNKUN OLORUNOJECredential: PA
Location Address210 N TUSTIN AVESanta Ana, CA 92705-3807
Mailing Address450 Clarkson Ave # EdBrooklyn, NY 11203-2012 · (718) 270-8289
Sole ProprietorYes
Enumeration DateFebruary 20, 2015
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1255723797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · 62386 Licensed in NY · 024382
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 10313257 (NY)
210 N TUSTIN AVE, Santa Ana, CA 92705

Secondary Practice Locations 2

Location 1151 Jersey St, Apt 5HStaten Island, NY 10301-1464 · Phone (347) 366-1086
Location 2450 Clarkson AveBrooklyn, NY 11203-2012 · Phone (718) 270-8289

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ibunkun Olorunoje Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92705 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 18

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

Anesthesiology
210 N TUSTIN AVE
SANTA ANA, CA 92705
Anesthesiology
210 N TUSTIN AVE
SANTA ANA, CA 92705
Clinic/Center (Health Service)
210 N TUSTIN AVE
SANTA ANA, CA 92705
Physician Assistant
210 N TUSTIN AVE
SANTA ANA, CA 92705
Physician Assistant
210 N TUSTIN AVE
SANTA ANA, CA 92705
Physician Assistant
210 N TUSTIN AVE
SANTA ANA, CA 92705
Physician Assistant
210 N TUSTIN AVE
SANTA ANA, CA 92705
Physician Assistant (Medical)
210 N TUSTIN AVE
SANTA ANA, CA 92705

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 Ibunkun Olorunoje's NPI number?

The NPI number for Ibunkun Olorunoje is 1255723797. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Ibunkun Olorunoje located?

Ibunkun Olorunoje practices at 210 N Tustin Ave, Santa Ana, CA 92705. The listed phone number is (888) 959-5192.

What is Ibunkun Olorunoje's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ibunkun Olorunoje enrolled in Medicare?

Yes. Ibunkun Olorunoje is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ibunkun Olorunoje was last updated on February 12, 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.