OLUBUNMI FUNMILAYO BANJO (NPI# 1265830616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265830616 |
Entity Type | Individual |
Full Name | OLUBUNMI FUNMILAYO BANJO |
Credential | N.P. |
Practice Address |
9939 Magnolia Ave Riverside CA 92503-3528 |
Practice Telephone | 9516878802 |
Practice Fax Number | 9516872250 |
Mailing Telephone | 9516878802 |
Mailing Fax Number | 9516872250 |
Enumeration Date | 2014-12-17 |
Last Update Date | 2014-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000540 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9939 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92503-3528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235138363 | Javier R Rios Md, A Professional Corporation | Plastic Surgery | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2005-07-20 |
1013447986 | Holistic Cure and Care Center, Inc. | Psychologist | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2017-06-14 |
1184075921 | Noel Santamaria | Physician Assistant | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2016-06-23 |
1689020729 | Daisy Lizzette Torres | Physician Assistant | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2016-05-08 |
1104290873 | Rios Southwest Medical Group | Family Medicine | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2015-11-18 |
1285011387 | Richard Fabian Cabrera | Pediatrics | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2015-04-28 |
1699191643 | Jane Herico | Nurse Practitioner | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2014-03-14 |
1902240344 | Julian Restrepo | General Practice | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2013-04-27 |
1003157041 | Lissette G Lopez | Physician Assistant | 9939 Magnolia Ave, Riverside, CA 92503-3528 | 2013-03-14 |
1427392554 | Brian Salabarrieta | Physician Assistant | 9939 Magnolia Ave, Clinica Medica Familiar, Riverside, CA 92503-1111 | 2012-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
Find all providers in zip 92503 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425145 | Alpha Shanika Gonzalez | Nurse Practitioner | 5750 Division St Ste 204, Riverside, CA 92506-3260 | 2020-04-08 |
1184264517 | Michael Josiah | Nurse Practitioner | 16254 Bridgton Cir, Riverside, CA 92503-5978 | 2020-01-14 |
1346885738 | Rose Jionna Newton | Nurse Practitioner | 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 | 2019-11-09 |
1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
1487209326 | Glecy Kristine Tan Lua | Nurse Practitioner | 7992 Wood Rd, Riverside, CA 92508-6605 | 2019-08-07 |
1386119725 | Eugene Santos | Nurse Practitioner | 3600 Lime St Ste 516, Riverside, CA 92501-0944 | 2018-10-12 |
1407356918 | Reyna Acela Reynaga-vargas | Nurse Practitioner | 5430 Arlington Ave # Na, Riverside, CA 92504-2505 | 2018-02-20 |
1174021646 | Mary Anne Brown | Nurse Practitioner | 10895 Magnolia Ave, Riverside, CA 92505-3057 | 2018-01-30 |
1295249167 | Emily Fernandez | Nurse Practitioner | 9444 Alta Cresta Ave, Riverside, CA 92508-8032 | 2017-11-29 |
1124538152 | Clara Nnadi | Nurse Practitioner | 18445 Pinecone Ln, Riverside, CA 92504-9420 | 2017-10-04 |
Find all providers in RIVERSIDE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.