BUKOLA DEBORAH OLUSANYA
NPI 1598113441
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Bukola Olusanya's NPI number?

The NPI number for Bukola Olusanya is 1598113441. It was assigned to this individual provider in the NPPES registry on June 1, 2016. The provider is also known as Bukola Deborah Awosanya Np.

Q: What is Bukola Olusanya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bukola Olusanya was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

808 W 58TH ST, LOS ANGELES, CA 90037(323) 541-1600(323) 541-1499 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bukola Deborah Olusanya NPPES

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

BUKOLA DEBORAH OLUSANYA (NPI 1598113441) is an individual family provider in Los Angeles, California, licensed in California (95004381) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598113441

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBUKOLA DEBORAH OLUSANYA

Location Address808 W 58TH STLos Angeles, CA 90037-3632

Mailing Address960 W 62nd Pl, Apt. 243Los Angeles, CA 90044-5474 · (323) 440-9196

Phone(323) 541-1600

Fax(323) 541-1499

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 1, 2016

Last NPPES UpdateSeptember 6, 2016

✔ NPI 1598113441 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 · 95004381

808 W 58TH ST, Los Angeles, CA 90037

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Other Names 1

Former Name (1)Bukola Deborah Awosanya Np

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

Bukola Deborah Olusanya 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 ID9436434511

PECOS Enrollment IDI20170403001418

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 90037 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 20

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

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