DR. OMOTAYO O ALAMUTU DNP, FNP, PMHNP
NPI 1689978652
Nurse Practitioner - Psychiatric/Mental Health in Travis Afb, CA
About Dr. Omotayo O Alamutu Dnp, Fnp, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OMOTAYO O ALAMUTU DNP, FNP, PMHNP (NPI 1689978652) is an individual psychiatric/mental health provider in Travis Afb, California, licensed in California (19624) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Omotayo O Alamutu Dnp, Fnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Omotayo Alamutu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, CA 94535
FAIRFIELD, CA 94535
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 Omotayo Alamutu's NPI number?
The NPI number for Omotayo Alamutu is 1689978652. It was assigned to this individual provider in the NPPES registry on January 5, 2011.
Where is Omotayo Alamutu located?
Omotayo Alamutu practices at 103 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 908-5630.
What is Omotayo Alamutu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Omotayo Alamutu enrolled in Medicare?
Yes. Omotayo Alamutu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Omotayo Alamutu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omotayo Alamutu reassigns Medicare benefits to Mellow Medical Inc A Professional Corporation (West Hollywood, 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 Omotayo Alamutu'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 Omotayo Alamutu was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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. Omotayo O Alamutu, DNP, FNP, PMHNP · NPI 1689978652
Psychiatric/Mental Health physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since January 5, 2011.
## Identity
- **NPI:** 1689978652 (Entity type: Individual)
- **Enumerated:** January 5, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 19624 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 103 BODIN CIR, Travis Afb, CA 94535-1801
- **Phone:** (707) 908-5630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689978652) · Data from the CMS NPPES public registry.