OLUBUNMI FUNMILAYO BANJO N.P.
NPI 1265830616
Nurse Practitioner - Family in Riverside, CA

Q: What is Olubunmi Banjo's NPI number?

The NPI number for Olubunmi Banjo is 1265830616. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Q: What is Olubunmi Banjo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Olubunmi Banjo was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 17, 2014PECOS Enrolled

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(213) 249-1190 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Olubunmi Funmilayo Banjo N.p. NPPES

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

OLUBUNMI FUNMILAYO BANJO N.P. (NPI 1265830616) is an individual family provider in Riverside, California, licensed in California (95000540) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265830616

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOLUBUNMI FUNMILAYO BANJOCredential: N.P.

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address9939 Magnolia AveRiverside, CA 92503-3528 · (951) 687-8802 · Fax (951) 687-2250

Phone(213) 249-1190

Sole ProprietorNo

Enumeration DateDecember 17, 2014

Last NPPES UpdateJuly 16, 2021

NPPES CertifiedJuly 16, 2021

✔ NPI 1265830616 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 · 95000540

10800 MAGNOLIA AVE, Riverside, CA 92505

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Secondary Practice Locations 2

Location 19939 Magnolia AveRiverside, CA 92503-3528 · Phone (951) 687-8802 · Fax (951) 687-2250

Location 210800 Magnolia AveRiverside, CA 92505-3043 · Phone (213) 249-1190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olubunmi Funmilayo Banjo N.p. 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.

Medicare Billing Reassignments

Medicare enrollment records show Olubunmi Banjo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Good Health PC Inc

40 mi

Nurse Practitioner

12353 MARIPOSA RD STE C2
Victorville, CA 92395

Reassigned Medicare billing, California enrollment
56 clinicians in this Medicare group

NPI 1356211452 (310) 658-3775

Villagehealth Dm LLC

799 mi

Case Management

2000 16TH ST
Denver, CO 80202

Reassigned Medicare billing, Oklahoma enrollment
13 clinicians in this Medicare group

NPI 1598273211 (303) 405-2100

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services71 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

57 services57 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

52 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 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 20

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

KAISER PERMANENTE

General Acute Care Hospital