TAIWO OLAWUYI
NPI 1508739681
Physician Assistant in San Jacinto, CA

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment
1695 S SAN JACINTO AVE STE A-D&F, SAN JACINTO, CA 92583(951) 330-3100(951) 350-1050 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Taiwo Olawuyi NPPES

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

TAIWO OLAWUYI (NPI 1508739681) is an individual physician assistant in San Jacinto, California, licensed in California (67066) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508739681
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTAIWO OLAWUYI
Location Address1695 S SAN JACINTO AVE STE A-D&FSan Jacinto, CA 92583-5103
Mailing Address1695 S San Jacinto Ave Ste A-d&fSan Jacinto, CA 92583-5103 · (951) 330-3100 · Fax (951) 350-1050
Fax(951) 350-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 25, 2025
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1508739681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 67066
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.

1695 S SAN JACINTO AVE STE A-D&F, San Jacinto, CA 92583

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

Taiwo Olawuyi 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 ID5294224978
PECOS Enrollment IDI20251031002590
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 92583 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 12

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

Chiropractor
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Physician Assistant (Medical)
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Dietitian, Registered
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Acupuncturist
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Psychologist
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Nurse Practitioner (Family)
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Physical Medicine & Rehabilitation
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583
Marriage & Family Therapist
1695 S SAN JACINTO AVE STE A-D&F
SAN JACINTO, CA 92583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508739681, enumerated as an "individual" on September 25, 2025.

The provider is located at 1695 S SAN JACINTO AVE STE A-D&F SAN JACINTO, CA 92583 and the phone number is (951) 330-3100.

Physician Assistant with taxonomy code 363A00000X.