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

NPI Status: Active since March 11, 2016

Contact Information

16245 DESERT KNOLL DR
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-9555
Fax: (760) 955-8558

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  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About OLUYOMBO OJEBIYI

This page provides the complete NPI Profile along with additional information for Oluyombo Ojebiyi, a provider established in Victorville, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1972964401 assigned on March 2016. The practitioner's primary taxonomy code is 363AS0400X with license number 53583 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1972964401
Provider Name
OLUYOMBO OJO OJEBIYI PA-C
Gender
Male
Entity Type
Individual
Location Address
16245 DESERT KNOLL DR VICTORVILLE, CA 92395
Location Phone
(760) 955-9555
Location Fax
(760) 955-8558
Mailing Address
16245 DESERT KNOLL DR VICTORVILLE, CA 92395
Mailing Phone
(760) 955-9555
Mailing Fax
(760) 955-8558
Is Sole Proprietor?
No
Enumeration Date
03-11-2016
Last Update Date
06-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
53583
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA53583 (CA)

Medicare Participation & PECOS Enrollment Status

Oluyombo Ojebiyi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    3 DME suppliers used 13 Medicare Claims 26 Services Paid

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1972964401, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 1 + 8 + 6 + 8 + 4 + 0 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972964401.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
Voluntary or Charitable
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
Nurse Practitioner (Family)
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395
Clinic/Center
16245 DESERT KNOLL DR
VICTORVILLE, CA 92395

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972964401, enumerated as an "individual" on March 11, 2016.

The provider is located at 16245 DESERT KNOLL DR VICTORVILLE, CA 92395 and the phone number is (760) 955-9555.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.