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OFUNNEKA OMEKAM RD
NPI 1942941455
Dietitian, Registered in Stockton, CA

Active since April 06, 2022
7912 WEST LN STE 221, STOCKTON, CA 95210(916) 670-5349 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Apr 6, 2022 (2 updates tracked since 2022).

About Ofunneka Omekam Rd NPPES

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

OFUNNEKA OMEKAM RD (NPI 1942941455) is an individual dietitian, registered in Stockton, California, licensed in California (86106943) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1942941455
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameOFUNNEKA OMEKAMCredential: RD
Location Address7912 WEST LN STE 221Stockton, CA 95210-3159
Mailing Address7210 Murray DrStockton, CA 95210-3339
Phone(916) 670-5349
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1942941455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86106943
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
7912 WEST LN STE 221, Stockton, CA 95210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ofunneka Omekam Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ofunneka Omekam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
1721 E HAMMER LN, SUITE A
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1538223375 (209) 751-5200

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 8

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

COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 954-7701
MRS. LUZ ELENA ZAPIEN FNP
Nurse Practitioner (Pediatrics)
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 636-5000
VEDESH KUMAR BABU MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 373-2829
ROBIN LYNN BAILEY SR.
Community Health Worker
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 636-5000
PAHNIA VANG
Nurse Practitioner (Family)
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 636-5000
COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 636-5000
TOMAIAH SIMON
Case Manager/Care Coordinator
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 623-6986
MISS EMMA TAYLOR MCCRACKEN IBCLC
Lactation Consultant, Non-RN
7912 WEST LN STE 221
STOCKTON, CA 95210
San Joaquin County (209) 870-5000

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 Ofunneka Omekam's NPI number?

The NPI number for Ofunneka Omekam is 1942941455. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Ofunneka Omekam located?

Ofunneka Omekam practices at 7912 West Ln Ste 221, Stockton, CA 95210. The listed phone number is (916) 670-5349.

What is Ofunneka Omekam's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Ofunneka Omekam enrolled in Medicare?

Yes. Ofunneka Omekam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ofunneka Omekam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ofunneka Omekam reassigns Medicare benefits to Community Medical Centers, Inc. (Stockton, 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 Ofunneka Omekam'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 Ofunneka Omekam was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.