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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BAMIDELE OJO-FATI
NPI 1619635893
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA

Active since December 03, 2021PECOS Enrolled
1203 WILLOW HILL AVE, SACRAMENTO, CA 95834(612) 325-3999 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2026, Dec 15, 2025, Dec 3, 2021 (3 updates tracked since 2021).

About Bamidele Ojo-fati NPPES

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

BAMIDELE OJO-FATI (NPI 1619635893) is an individual psychiatric/mental health provider in Sacramento, California, licensed in California (95030424) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619635893
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBAMIDELE OJO-FATI
Location Address1203 WILLOW HILL AVESacramento, CA 95834-1679
Mailing Address1203 Willow Hill AveSacramento, CA 95834-1679 · (612) 325-3999
Phone(612) 325-3999
Sole ProprietorNo
Enumeration DateDecember 3, 2021
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1619635893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95030424
1203 WILLOW HILL AVE, Sacramento, CA 95834
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bamidele Ojo-fati 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.

Medicare Billing Reassignment

Medicare enrollment records show Bamidele Ojo-fati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
93 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95834 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Bamidele Ojo-fati's NPI number?

The NPI number for Bamidele Ojo-fati is 1619635893. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Bamidele Ojo-fati located?

Bamidele Ojo-fati practices at 1203 Willow Hill Ave, Sacramento, CA 95834. The listed phone number is (612) 325-3999.

What is Bamidele Ojo-fati's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bamidele Ojo-fati enrolled in Medicare?

Yes. Bamidele Ojo-fati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bamidele Ojo-fati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bamidele Ojo-fati reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Bamidele Ojo-fati'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 Bamidele Ojo-fati was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.