OFILI OKOLONWAMU (NPI# 1033661897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033661897 |
| Entity Type | Individual |
| Full Name | OFILI OKOLONWAMU |
| Credential | N.P., PA-C |
| Practice Address |
2081 Bronze Star Dr Woodland CA 95776-5423 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306611081 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA53898 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 95005485 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2081 BRONZE STAR DR |
| City | WOODLAND |
| State | CA |
| Zip Code | 95776-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629428 | Kristin Diane Rickelman | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2005-09-14 |
| 1821574625 | Editha C Setiawan | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-07-14 |
| 1801380803 | Gurpreet Kaur Malhi | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-06-21 |
| 1497283212 | Hillary Williams | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-05-24 |
| 1073046124 | Adriana Santana | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-04-05 |
| 1639550122 | My Dungthi Pham | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2015-06-10 |
| 1376958173 | Janet A Hill | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-07-01 |
| 1144632951 | Behnam Vahdati Nia | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-28 |
| 1750792149 | Iris M Villanueva | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-19 |
| 1669817961 | Francisco Robert Guzman Jr. | Registered Nurse | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2013-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
| 1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
| 1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
| 1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
| 1730348764 | Woodland Residential Services | Nursing Facility/Intermediate Care Facility | 40145 Best Ranch Road, Woodland, CA 95776 | 2008-06-05 |
| 1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609321900 | Jeremiah Lewis | Physician Assistant | 18384 Mandarin St, Woodland, CA 95695-6013 | 2016-08-17 |
| 1487862793 | Maria Francina Degracia | Physician Assistant | 1630 Donner Way, Woodland, CA 95695-5564 | 2007-05-18 |
| 1821158882 | James Kevin Hart | Physician Assistant | 76 County Road, Suite 3, Woodland, AL 36280 | 2006-12-11 |
| 1922101922 | Marge Lee | Physician Assistant | 215 W Beamer St, Woodland, CA 95695-2510 | 2006-09-06 |
| 1972061513 | Philip Joseph Ross II | Physician Assistant | 527 2nd St, Woodland, WA 98674-8486 | 2019-03-02 |
| 1922519222 | Sarah Leslie Thrasher | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-10-13 |
| 1184160301 | Aleksandr Palenyy | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-01-11 |
| 1245687052 | Carlos J Pena | Physician Assistant | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2016-05-21 |
| 1023480159 | Isaac Dominguez | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2015-10-28 |
| 1174928253 | Lonna Marie Hampton | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-10-30 |
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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.