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OMOBOLA FASHOLA
NPI 1801488192
Registered Nurse in Sylmar, CA

Active since February 08, 2021PECOS Enrolled
14445 OLIVE VIEW DR, SYLMAR, CA 91342(747) 210-4341 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Sep 27, 2022, Feb 8, 2021 (3 updates tracked since 2021).

About Omobola Fashola NPPES

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

OMOBOLA FASHOLA (NPI 1801488192) is an individual registered nurse in Sylmar, California, licensed in California (644419) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sylmar, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801488192
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameOMOBOLA FASHOLA
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address14659 Olive View DrSylmar, CA 91342-1652 · (818) 485-0864
Phone(747) 210-4341
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 8, 2021
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1801488192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 644419
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95022795 (CA)
14445 OLIVE VIEW DR, Sylmar, CA 91342
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Secondary Practice Location 1

Location 114659 Olive View DrSylmar, CA 91342-1652 · Phone (818) 485-0888

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omobola Fashola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416310479
PECOS Enrollment IDI20230824001238
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 Omobola Fashola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mehboob Makhani MD A Professional Corporation
5.6 mi
Psychiatry
17075 DEVONSHIRE ST, SUITE 204
Northridge, CA 91325
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1578835724 (818) 717-8464

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

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.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
MR. ANDRIY A KUZNETSOV PT
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-4245

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 Omobola Fashola's NPI number?

The NPI number for Omobola Fashola is 1801488192. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Omobola Fashola located?

Omobola Fashola practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (747) 210-4341.

What is Omobola Fashola's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Omobola Fashola enrolled in Medicare?

Yes. Omobola Fashola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Omobola Fashola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omobola Fashola reassigns Medicare benefits to Mehboob Makhani MD A Professional Corporation (Northridge, 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 Omobola Fashola'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 Omobola Fashola was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.