OMOBOLA FASHOLA – Registered Nurse, NPI 1801488192

OMOBOLA FASHOLA is a healthcare provider. based in Sylmar, California. specializing in NURSE PRACTITIONER. They hold a License No. 95022795 (CA). The NPI Number for OMOBOLA FASHOLA is 1801488192

Main info

Female
4 Years Of Experience
Name
OMOBOLA FASHOLA
NPI
1801488192
Phone
(818) 485-0888
Address
14659 Olive View Dr
Enumeration Date
8 February 2021
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187178464
Graduation Year
2022 (4 years ago)
PAC ID
7416310479
Group Practice PAC ID
9133387442
Professional Enrollment ID
I20230824001238
Address ID
CA913255408NO17075STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for OMOBOLA FASHOLA

  • 14659 Olive View Dr

    Sylmar, CA 913421652

    Phone: (818) 485-0888

    Type: Location

  • 14659 OLIVE VIEW DR

    SYLMAR, CA 913421652

    Phone: (818) 485-0864

    Type: Mailing

  • 14445 OLIVE VIEW DR

    SYLMAR, CA 913421437

    Phone: (747) 210-4341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-03-15 • Largest payer in this snapshot: GENZYME CORPORATION ($44).

Total Amount

$44

General + Research + Ownership

Payments

1

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GENZYME CORPORATION$44
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230824001238INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133387442View full group profile
NameSpecialtyState
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I cross-check OMOBOLA FASHOLA using NPI 1801488192?
NPI 1801488192 belongs to OMOBOLA FASHOLA; compare other details if you need extra assurance.
Would OMOBOLA FASHOLA appear as active to a payer?
You can treat OMOBOLA FASHOLA as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to OMOBOLA FASHOLA?
OMOBOLA FASHOLA's specialty line reads Registered Nurse. Clinical services aligned with this taxonomy classification.
Is OMOBOLA FASHOLA located near Sylmar?
OMOBOLA FASHOLA currently maps to Sylmar, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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