DR. BOLANLE TOKUNBO OYEYIPO-AJUMOBI MD
NPI 1821084054
Family Medicine in San Bernardino, CA

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
1717 E DATE PL, SAN BERNARDINO, CA 92404(909) 740-5885 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 22, 2021 (2 updates tracked since 2021).

About Dr. Bolanle Tokunbo Oyeyipo-ajumobi Md NPPES

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

DR. BOLANLE TOKUNBO OYEYIPO-AJUMOBI MD (NPI 1821084054) is an individual family medicine provider in San Bernardino, California, licensed in California (A92030) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1821084054
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BOLANLE TOKUNBO OYEYIPO-AJUMOBICredential: MD
Location Address1717 E DATE PLSan Bernardino, CA 92404-4428
Mailing Address1717 E Date PlSan Bernardino, CA 92404-4428 · (909) 740-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 22, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1821084054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A92030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License A92030 (CA)
1717 E DATE PL, San Bernardino, CA 92404

Other Names 1

Professional Name (2)Dr. Bolanle Tokunbo Oyeyipo Md

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

Dr. Bolanle Tokunbo Oyeyipo-ajumobi 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.

PECOS PAC ID9739110966
PECOS Enrollment IDI20050826000473
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 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 9

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

Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacy (Community/Retail Pharmacy)
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Pharmacist
1717 E DATE PL
SAN BERNARDINO, CA 92404
Family Medicine
1717 E DATE PL
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
1717 E DATE PL
SAN BERNARDINO, CA 92404

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 Bolanle Oyeyipo-ajumobi's NPI number?

The NPI number for Bolanle Oyeyipo-ajumobi is 1821084054. It was assigned to this individual provider in the NPPES registry on September 22, 2005. The provider is also known as Dr. Bolanle Tokunbo Oyeyipo MD.

Where is Bolanle Oyeyipo-ajumobi located?

Bolanle Oyeyipo-ajumobi practices at 1717 E Date Pl, San Bernardino, CA 92404. The listed phone number is (909) 740-5885.

What is Bolanle Oyeyipo-ajumobi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bolanle Oyeyipo-ajumobi enrolled in Medicare?

Yes. Bolanle Oyeyipo-ajumobi 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.

When was this NPI record last updated?

The NPPES record for Bolanle Oyeyipo-ajumobi was last updated on March 7, 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.