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SARAH S OLELEWE, MD, INC
NPI 1386724383
Internal Medicine - Geriatric Medicine in Hawthorne, CA

Active since October 16, 2006CLIA 05D0985806 · Waiver
11712 HAWTHORNE BLVD, HAWTHORNE, CA 90250(310) 679-9293(310) 715-8686 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2018, May 27, 2018 (2 updates tracked since 2018).

About Sarah S Olelewe, Md, Inc NPPES

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

SARAH S OLELEWE, MD, INC (NPI 1386724383) is a healthcare organization registered as a geriatric medicine in Hawthorne, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Sarah Sam Olelewe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386724383
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameSARAH S OLELEWE, MD, INC
Location Address11712 HAWTHORNE BLVDHawthorne, CA 90250
Mailing AddressPo Box 238Agoura Hills, CA 91376-0238 · (310) 679-9293 · Fax (310) 715-8686
Phone(310) 679-9293
Fax(310) 715-8686
Organization SubpartNo
Authorized OfficialSarah Sam OleleweCeo · (310) 679-9293
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
✔ NPI 1386724383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · A56520
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
11712 HAWTHORNE BLVD, Hawthorne, CA 90250
Open in Google Maps ↗

Other Identifiers 2

Other00A565200CA · Blue Shield Prov Number
Medicaid00A565201CA

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)

Sarah S Olelewe, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sarah S Olelewe, MD, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sarah Olelewe, M.D.
Geriatric Medicine
NPI 1689754665
11712 HAWTHORNE BLVD
Hawthorne, CA 90250
(310) 679-9293
✔ PECOS✔ Accepts MedicareSame address
Ogbonna Olelewe, NP-C
Nurse Practitioner
NPI 1043751886
11712 S. HAWTHORNE BLVD
Hawthorne, CA 90250
(310) 679-9293
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0985806

Sarah S Olelewe MD Inc · Hawthorne, CA
Active · expires Apr 20, 2027
CLIA Number05D0985806
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorSarah S. Olelewe MD
Laboratory Phone(310) 679-9293
Laboratory LocationSarah S Olelewe MD Inc11712 S Hawthorne Blvd, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sarah S Olelewe, MD, Inc's NPI number?

The NPI number for Sarah S Olelewe, MD, Inc is 1386724383. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Sarah S Olelewe, MD, Inc located?

Sarah S Olelewe, MD, Inc is located at 11712 Hawthorne Blvd, Hawthorne, CA 90250. The listed phone number is (310) 679-9293.

What is Sarah S Olelewe, MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Sarah S Olelewe, MD, Inc enrolled in Medicare?

Yes. Sarah S Olelewe, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sarah S Olelewe, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sarah S Olelewe, MD, Inc, in Geriatric Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sarah S Olelewe, MD, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0985806) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sarah S Olelewe, MD, Inc was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.