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OSAYAMEN O OMORUYI M.D.
NPI 1467814582
Family Medicine in Playa Vista, CA

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
12746 W JEFFERSON BLVD # 3000, PLAYA VISTA, CA 90094(424) 315-2452 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2022, Oct 4, 2021, Sep 17, 2020 and 2 more (5 updates tracked since 2016).

About Osayamen O Omoruyi M.d. NPPES

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

OSAYAMEN O OMORUYI M.D. (NPI 1467814582) is an individual family medicine provider in Playa Vista, California, licensed in California (A163248) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467814582
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOSAYAMEN O OMORUYICredential: M.D.
Location Address12746 W JEFFERSON BLVD # 3000Playa Vista, CA 90094-2885
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(424) 315-2452
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateSeptember 13, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1467814582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A163248✔ Licensed in FL · ME146315
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12746 W JEFFERSON BLVD # 3000, Playa Vista, CA 90094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Osayamen O Omoruyi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678867744
PECOS Enrollment IDI20220927003206
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.

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.
54 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services30 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.
30 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90094 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

AUDREY SUI
Family Medicine
12746 W JEFFERSON BLVD # 3000
PLAYA VISTA, CA 90094
Los Angeles County (424) 315-2343
DR. CHRISTINE A LAM MD
Internal Medicine
12746 W JEFFERSON BLVD # 3000
PLAYA VISTA, CA 90094
Los Angeles County (424) 315-2364

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 Osayamen Omoruyi's NPI number?

The NPI number for Osayamen Omoruyi is 1467814582. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Osayamen Omoruyi located?

Osayamen Omoruyi practices at 12746 W Jefferson Blvd # 3000, Playa Vista, CA 90094. The listed phone number is (424) 315-2452.

What is Osayamen Omoruyi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Osayamen Omoruyi enrolled in Medicare?

Yes. Osayamen Omoruyi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Osayamen Omoruyi accept?

Health plans from Providence Health Plan list Osayamen Omoruyi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Osayamen Omoruyi was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.