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DIVINE OLUWATOSIN OJELADE NP
NPI 1417704032
Nurse Practitioner - Family in Moreno Valley, CA

Active since May 01, 2024PECOS Enrolled
24060 FIR AVE STE A, MORENO VALLEY, CA 92553(951) 247-8005 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 2, 2024, May 1, 2024 (2 updates tracked since 2024).

About Divine Oluwatosin Ojelade Np NPPES

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

DIVINE OLUWATOSIN OJELADE NP (NPI 1417704032) is an individual family provider in Moreno Valley, California, licensed in California (95029823) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417704032
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDIVINE OLUWATOSIN OJELADECredential: NP
Location Address24060 FIR AVE STE AMoreno Valley, CA 92553-2895
Mailing Address16675 Shuning CtMoreno Valley, CA 92551-7491 · (310) 909-4078
Phone(951) 247-8005
Sole ProprietorYes
Enumeration DateMay 1, 2024
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1417704032 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 · 95029823
24060 FIR AVE STE A, Moreno Valley, CA 92553
Open in Google Maps ↗

Other Names 1

Former Name (1)Ademuyiwa Ojelade

Secondary Practice Locations 3

Location 116675 Shuning CtMoreno Valley, CA 92551-7491 · Phone (310) 909-4078
Location 23300 N San Fernando Blvd # 201Burbank, CA 91504-2530 · Phone (310) 909-4078
Location 35015 Eagle Rock Blvd Ste 200Los Angeles, CA 90041-2087 · Phone (310) 909-4078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divine Oluwatosin Ojelade Np 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 92553 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 3

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

HENNA MOHAMMAD
Physician Assistant
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005
MS. SHANNA SHANEEN JACKSON NP
Nurse Practitioner (Family)
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005
HEACOCK HEALTH MEDICAL GROUP, INC.
Clinic/Center (Urgent Care)
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005

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 Divine Ojelade's NPI number?

The NPI number for Divine Ojelade is 1417704032. It was assigned to this individual provider in the NPPES registry on May 1, 2024. The provider is also known as Ademuyiwa Ojelade.

Where is Divine Ojelade located?

Divine Ojelade practices at 24060 Fir Ave Ste A, Moreno Valley, CA 92553. The listed phone number is (951) 247-8005.

What is Divine Ojelade's specialty?

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

Is Divine Ojelade enrolled in Medicare?

Yes. Divine Ojelade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Divine Ojelade was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.