DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) – Psychiatry Physician, NPI 1972529170

DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) is a healthcare provider. based in Pomona, California. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 30604 (KY). The NPI Number for DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) is 1972529170

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUWOLE OLUSEYI OLUSOLA (M.D.)
NPI
1972529170
Phone
(909) 623-6131
Address
2008 N GAREY AVE
Enumeration Date
14 July 2006
Last Update Date
22 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9096236131
Graduation Year
1985 (41 years ago)
PAC ID
6002991775
Group Practice PAC ID
6002710506
Professional Enrollment ID
I20190514001104
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. OLUWOLE OLUSEYI OLUSOLA (M.D.)

  • North Garey Avenue, North Pomona, Pomona, Los Angeles County, California, 91767, United States

    POMONA, CA 917672722

    Phone: (909) 623-6131

    Fax: (909) 865-9281

    Type: Location

  • 407, Frederica Street, Owensboro, Daviess County, Kentucky, 42301, United States

    P.O. BOX 1876

    OWENSBORO, KY 423013079

    Phone: (270) 684-1077

    Fax: (270) 684-1339

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,201.

Total Amount is formed as General ($1,201) + Research ($0) + Ownership ($0) = $1,201.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($462).

Total Amount

$1,201

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-05-14

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
I20190514001104IPsychiatryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2817$0
99215Established patient office or other outpatient visit, 40-54 minutes1912$0
99443Telephone medical discussion with physician, 21-30 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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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: 6002710506View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
-CA
-CA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Can I cross-check DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) using NPI 1972529170?
NPI 1972529170 belongs to DR. OLUWOLE OLUSEYI OLUSOLA (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. OLUWOLE OLUSEYI OLUSOLA (M.D.)?
You should see DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. OLUWOLE OLUSEYI OLUSOLA (M.D.)?
DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) associated with Pomona?
Public fields place DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) around Pomona, California. Always confirm the exact site before visiting.
Does DR. OLUWOLE OLUSEYI OLUSOLA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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