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OLUYOMBO OJO OJEBIYI PA-C
NPI 1972964401
Physician Assistant - Surgical in Victorville, CA

Active since March 11, 2016PECOS Enrolled
16245 DESERT KNOLL DR, VICTORVILLE, CA 92395(760) 955-9555(760) 955-8558 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oluyombo Ojo Ojebiyi Pa-c NPPES

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

OLUYOMBO OJO OJEBIYI PA-C (NPI 1972964401) is an individual surgical provider in Victorville, California, licensed in California (53583) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972964401
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameOLUYOMBO OJO OJEBIYICredential: PA-C
Location Address16245 DESERT KNOLL DRVictorville, CA 92395-4011
Mailing Address16245 Desert Knoll DrVictorville, CA 92395-4011 · (760) 955-9555 · Fax (760) 955-8558
Phone(760) 955-9555
Fax(760) 955-8558
Sole ProprietorNo
Enumeration DateMarch 11, 2016
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1972964401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 53583
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA53583 (CA)
16245 DESERT KNOLL DR, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluyombo Ojo Ojebiyi Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims26 services$3.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAL CHOICE FAMILY PRACTICE INC
Clinic/Center
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
San Bernardino County (760) 955-9555
LAURA MERCADO HALTERMAN DNP FNP-C
Nurse Practitioner (Family)
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
San Bernardino County (760) 955-9555
ONE 2 ONE MENTORS, INC.
Voluntary or Charitable
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
San Bernardino County (760) 245-1997
ETTA MARIE JONES CAS
Counselor (Addiction (Substance Use Disorder))
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
San Bernardino County (760) 245-1997

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 Oluyombo Ojebiyi's NPI number?

The NPI number for Oluyombo Ojebiyi is 1972964401. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Oluyombo Ojebiyi located?

Oluyombo Ojebiyi practices at 16245 Desert Knoll Dr, Victorville, CA 92395. The listed phone number is (760) 955-9555.

What is Oluyombo Ojebiyi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Oluyombo Ojebiyi enrolled in Medicare?

Yes. Oluyombo Ojebiyi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oluyombo Ojebiyi was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.