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MR. WALE MUYIWA OLUKANMI PA-C
NPI 1538386495
Physician Assistant - Medical in Lancaster, CA

Active since April 19, 2007PECOS Enrolled
44750 60TH ST W, LANCASTER, CA 93536(661) 729-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Wale Muyiwa Olukanmi Pa-c NPPES

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

MR. WALE MUYIWA OLUKANMI PA-C (NPI 1538386495) is an individual medical provider in Lancaster, California, licensed in California (PA16609) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538386495
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WALE MUYIWA OLUKANMICredential: PA-C
Location Address44750 60TH ST WLancaster, CA 93536-7619
Mailing AddressPo Box 1675Lancaster, CA 93539-1675 · (310) 663-3122
Phone(661) 729-2000
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1538386495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA16609
44750 60TH ST W, Lancaster, CA 93536
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Olubowale Olumuyiwa Olukanmi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Wale Muyiwa Olukanmi Pa-c 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.

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.

ARMINE GEVORKYAN
Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000
GUILLERMO GONZALEZ LOPEZ
Social Worker (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (213) 202-3970
DR. DAVID CHADORCHI PSY.D.
Psychologist
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000
PAK YAN LEUNG A.S.W.
Counselor (Mental Health)
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000
LINA CLOUGH
Student in an Organized Health Care Education/Training Program
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (707) 451-0182
KAJAL SAKHRANI PSYD
Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000
DR. FELECIA D. SHEFFIELD PHD
Psychologist (Clinical)
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000
SHELDON J BROOKS D.D.S.
Dentist
44750 60TH ST W
LANCASTER, CA 93536
Los Angeles County (661) 729-2000

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 Wale Olukanmi's NPI number?

The NPI number for Wale Olukanmi is 1538386495. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Mr. Olubowale Olumuyiwa Olukanmi.

Where is Wale Olukanmi located?

Wale Olukanmi practices at 44750 60th St W, Lancaster, CA 93536. The listed phone number is (661) 729-2000.

What is Wale Olukanmi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Wale Olukanmi enrolled in Medicare?

Yes. Wale Olukanmi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wale Olukanmi was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.