OLUSEYI OBADEYI – Emergency Medicine Physician, NPI 1972182459
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 PAIN MANAGEMENT in CA
Provider Addresses for OLUSEYI OBADEYI
11100 Warner Ave Ste 310
Fountain Valley, CA 927084009
Phone: (714) 824-6560
Fax: (714) 475-2154
Type: Location
10565 Civic Center Dr Bldg Ste 165
Rancho Cucamonga, CA 917303853
Phone: (909) 985-2211
Fax: (909) 985-2244
Type: Location
100 N State College Blvd Ste H
Fullerton, CA 928314236
Phone: (714) 824-6565
Fax: (714) 930-7926
Type: Location
11234 ANDERSON STREET
GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 923542804
Phone: (909) 558-4085
Type: Mailing
11234 ANDERSON ST
LOMA LINDA, CA 923542804
Phone: (909) 558-4085
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $1,937.
Total Amount is formed as General ($1,937) + Research ($0) + Ownership ($0) = $1,937.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Abbott Laboratories ($1,800).
Total Amount
$1,937
General + Research + Ownership
Payments
7
Total payment records
General Amount
$1,937
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,800 |
| Nevro Corp. | $69 |
| SI-BONE, INC. | $32 |
| Boston Scientific Corporation | $19 |
| PAINTEQ LLC | $17 |
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: 2024-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240819003004 | I | Pain Management | CA | TBD |
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.
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 92708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Physician Assistant | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Critical Care (Intensivists), General Surgery | CA | |
| Surgical Oncology, General Surgery | IL | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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