DR. OMOLADE OGUN MD
NPI 1548526494
Family Medicine in Marina Del Rey, CA
About Dr. Omolade Ogun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OMOLADE OGUN MD (NPI 1548526494) is an individual family medicine provider in Marina Del Rey, California, licensed in California (A121040) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Omolade Ogun Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Omolade Ogun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Hemet, CA 92543
- Reassigned Medicare billing, California enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Omolade Ogun's NPI number?
The NPI number for Omolade Ogun is 1548526494. It was assigned to this individual provider in the NPPES registry on April 4, 2012. The provider is also known as Dr. Omolade Akinsanya M.D..
Where is Omolade Ogun located?
Omolade Ogun practices at 4676 Admiralty Way Fl 4, Marina Del Rey, CA 90292. The listed phone number is (310) 306-6966.
What is Omolade Ogun's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Omolade Ogun enrolled in Medicare?
Yes. Omolade Ogun 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.
Which organizations bill Medicare for Omolade Ogun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omolade Ogun reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Clinicas De Salud Del Pueblo Inc. (Hemet, CA). Each 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 Omolade Ogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Omolade Ogun was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Omolade Ogun, MD · NPI 1548526494
Family Medicine physician in Marina Del Rey, California. Individual provider, active in the CMS NPPES registry since April 4, 2012.
## Identity
- **NPI:** 1548526494 (Entity type: Individual)
- **Enumerated:** April 4, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A121040 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4676 ADMIRALTY WAY FL 4, Marina Del Rey, CA 90292-6601
- **Phone:** (310) 306-6966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Care Foundation (NPI 1316984388, Los Angeles, CA); Clinicas De Salud Del Pueblo Inc. (NPI 1033593108, Hemet, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548526494) · Data from the CMS NPPES public registry.