OLUYOMBO OJO OJEBIYI PA-C NPI 1972964401

NPI Information

NPI: 1972964401
Provider Name: OLUYOMBO OJO OJEBIYI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
16245 DESERT KNOLL DR
VICTORVILLE, CA
ZIP 92395
Phone: (760) 955-9555
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Oluyombo Ojo Ojebiyi, PA-C is a surgical physician assistant in Victorville, CA. Oluyombo Ojo Ojebiyi, PA-C NPI is 1972964401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16245 DESERT KNOLL DR
VICTORVILLE, CA
ZIP 92395-011
Phone: (760) 955-9555
Fax: (760) 955-8558

The NPI 1972964401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 6/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA53583	CALIFORNIA	No
2	363AS0400X	Physician Assistant	Surgical	53583	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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