EGBEBALAKHAMEN IYABO OMOREGIE NP
NPI 1962015701
Nurse Practitioner in Oakland, CA
About Egbebalakhamen Iyabo Omoregie Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EGBEBALAKHAMEN IYABO OMOREGIE NP (NPI 1962015701) is an individual nurse practitioner in Oakland, California, licensed in California (NP95013296) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Egbebalakhamen Iyabo Omoregie Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
OAKLAND, CA 94602
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 Egbebalakhamen Omoregie's NPI number?
The NPI number for Egbebalakhamen Omoregie is 1962015701. It was assigned to this individual provider in the NPPES registry on August 30, 2020. The provider is also known as Egbe Omoregie Nickname.
Where is Egbebalakhamen Omoregie located?
Egbebalakhamen Omoregie practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 535-7382.
What is Egbebalakhamen Omoregie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Egbebalakhamen Omoregie enrolled in Medicare?
Yes. Egbebalakhamen Omoregie 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 Egbebalakhamen Omoregie was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Egbebalakhamen Iyabo Omoregie, NP · NPI 1962015701
Nurse Practitioner physician in Oakland, California. Individual provider, active in the CMS NPPES registry since August 30, 2020.
## Identity
- **NPI:** 1962015701 (Entity type: Individual)
- **Enumerated:** August 30, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP95013296 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1411 E 31ST ST, Oakland, CA 94602-1018
- **Phone:** (510) 535-7382
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962015701) · Data from the CMS NPPES public registry.