MR. WALE MUYIWA OLUKANMI (NPI# 1538386495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538386495 |
| Entity Type | Individual |
| Full Name | MR. WALE MUYIWA OLUKANMI |
| Other Name | MR. OLUBOWALE OLUMUYIWA OLUKANMI |
| Credential | PA-C |
| Practice Address |
44750 60th St W Lancaster CA 93536-7619 |
| Mailing Address |
Po Box 1675 Lancaster CA 93539-1675 |
| Practice Telephone | 6617292000 |
| Mailing Telephone | 3106633122 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA16609 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44750 60TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340725 | Ben S Lee | Dentist | 44750 60th St W, Healthcare Services - Dental Department, Lancaster, CA 93536-7619 | 2006-03-20 |
| 1104423227 | Kajal Sakhrani | Psychologist | 44750 60th St W, Lancaster, CA 93536-7619 | 2020-10-01 |
| 1538777073 | Tamika Torres | Psychologist | 44750 60th St W, Lancaster, CA 93536-7619 | 2020-07-21 |
| 1770111809 | Krystal Pope | Psychologist | 44750 60th St W, Lancaster, CA 93536-7619 | 2020-04-01 |
| 1518492214 | Thana Dhanaphibul | Pharmacist | 44750 60th St W, Lancaster, CA 93536-7619 | 2017-05-01 |
| 1548622699 | Stephen Lee | Family Medicine | 44750 60th St W, Lancaster, CA 93536-7619 | 2016-03-27 |
| 1689041188 | Fereshte Mirzad | Psychologist | 44750 60th St W, Lancaster, CA 93536-7619 | 2015-08-31 |
| 1881098200 | Tony Rodriguez | Social Worker | 44750 60th St W, Lancaster, CA 93536-7619 | 2014-10-14 |
| 1174924435 | Andrea Stocker | Social Worker | 44750 60th St W, Lancaster, CA 93536-7620 | 2014-09-05 |
| 1821407099 | Eleanore Feldman | Social Worker | 44750 60th St W, Lancaster, CA 93536-7619 | 2014-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1982938593 | Kathleen M. Thatcher | Physician Assistant | 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 | 2009-09-29 |
| 1033373014 | Rachel Leanne Thompson | Physician Assistant | 701 N Duke St, Lancaster, PA 17602-2019 | 2008-07-18 |
| 1659584746 | Sharon Kay Ashton | Physician Assistant | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2007-05-07 |
| 1477662203 | Joaquin J Garcia | Physician Assistant | 2150 Noll Drive, Suite 100, Lancaster, PA 17603 | 2006-08-29 |
| 1467488072 | Kelly O'sullivan | Physician Assistant | 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 | 2006-06-24 |
| 1891738001 | Paul Richard Leaman | Physician Assistant | 625 S. Duke St., Lancaster, PA 17602-0598 | 2006-06-14 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1891742755 | Christine N Kurpiel | Physician Assistant | 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 | 2006-05-27 |
| Find all providers in LANCASTER | ||||
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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.