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DR. OMONIYI OMOTOSO M.D., M.P.H., FAAP
NPI 1871875344
Pediatrics in Oakland, CA

Active since September 12, 2011PECOS EnrolledAccepts Medicare Assignment
2920 INTERNATIONAL BLVD, OAKLAND, CA 94601(510) 535-4400(510) 535-8474 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Omoniyi Omotoso M.d., M.p.h., Faap NPPES

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

DR. OMONIYI OMOTOSO M.D., M.P.H., FAAP (NPI 1871875344) is an individual pediatrics provider in Oakland, California, licensed in California (94033) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Washington University School Of Medicine (2004).

NPPES Registry Identity

NPI1871875344
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. OMONIYI OMOTOSOCredential: M.D., M.P.H., FAAP
Location Address2920 INTERNATIONAL BLVDOakland, CA 94601-2228
Mailing Address2920 International Boulevard, Native American Health Center - Administrative OfficeOakland, CA 94611 · (510) 535-4400 · Fax (510) 535-8474
Phone(510) 535-4400
Fax(510) 535-8474
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2004
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJune 6, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1871875344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 94033
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2920 INTERNATIONAL BLVD, Oakland, CA 94601
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Secondary Practice Location 1

Location 1160 Capp StSan Francisco, CA 94110-1210 · Phone (415) 417-3500

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Omoniyi Omotoso M.d., M.p.h., Faap 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 ID5991010407
PECOS Enrollment IDI20150812008893
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 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

CHRISTINA THAI
Registered Nurse (Neonatal Intensive Care)
2920 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
DR. ANGELA CHEN DDS
Dentist
2920 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5900
HECTOR RODRIGUEZ
Registered Nurse (Emergency)
2920 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5903
KAREN SUSAN ALVARADO
Registered Nurse
2920 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5925

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 Omoniyi Omotoso's NPI number?

The NPI number for Omoniyi Omotoso is 1871875344. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Omoniyi Omotoso located?

Omoniyi Omotoso practices at 2920 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4400.

What is Omoniyi Omotoso's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Omoniyi Omotoso enrolled in Medicare?

Yes. Omoniyi Omotoso 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 Omoniyi Omotoso was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.