Active NPIIndividual providerSole proprietor

Ibunkun Olorunoje, PA

Physician Assistant in Santa Ana, California

NPI Number1255723797
Practice location
210 N Tustin Ave, Santa Ana, CA 92705-3807
Fax
—
Last updated
February 12, 2025

Ibunkun Olorunoje is a Physician Assistant based in Santa Ana, CA. Ibunkun Olorunoje practices in Santa Ana, CA and has the professional credentials of PA. The NPI Number for Ibunkun Olorunoje is 1255723797 and holds a License No. 10313257 (NY). The current practice location address for Ibunkun Olorunoje is 210 N Tustin Ave, Santa Ana, CA 92705-3807 and can be reached out via phone at 888-959-5192.

Provider Profile Details

NPI Number
1255723797
Provider Name
Ibunkun Olorunoje
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
210 N Tustin Ave, Santa Ana, CA 92705-3807
Phone Number
888-959-5192
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2015
Last Update Date
February 12, 2025
Certification Date
February 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Zip
92705-3807
Phone Number
888-959-5192
Santa Ana, CA 92705Get directions →

Provider Business Mailing Address Details

Address
450 Clarkson Ave # Ed
Brooklyn, NY 11203-2012
City
Brooklyn
State
NY
Zip
11203-2012
Phone Number
718-270-8289

License Information

License Number (1)
10313257
License State (1)
NY
Taxonomy (1)
Licensed Practical Nurse · 164W00000X
License Number (2)
024382
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
62386
License State (3)
CA
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ibunkun Olorunoje, PA?

The NPI number of Ibunkun Olorunoje, PA is 1255723797. It was assigned on February 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Ibunkun Olorunoje, PA?

Ibunkun Olorunoje, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 10313257.

Where does Ibunkun Olorunoje, PA practice?

The practice location is 210 N Tustin Ave, Santa Ana, CA 92705-3807. The office can be reached at 888-959-5192 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255723797 directly on the NPPES registry website.

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