Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ibunkun Olorunoje, PA

Individual provider Licensed Practical Nurse · NPI 1255723797

Ibunkun Olorunoje, PA is a Physician Assistant in Santa Ana, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in California and New York.

Years since qualifying
7
Licensed in
CA, NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone: (888) 959-5192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 450 Clarkson Ave, Brooklyn, NY 11203-2012 — (718) 270-8289
  • 151 Jersey St, Staten Island, NY 10301-1464 — (347) 366-1086

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62386 (CA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 10313257 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 024382 (NY)

Record details

NPI number1255723797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 20, 2015
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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