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

Individual provider Family Nurse Practitioner · NPI 1194243790

Oluwaseun Boladale Ogunjimi, NURSEPRACTITIONER is a Nurse Practitioner in Santa Ana, California. Graduated from Jefferson Medical College of Thomas Jefferson University in 2016, 10 years ago. Practices with Northeast Valley Health Corporation, a 76-clinician group and works from 3 locations. Licensed in California.

Years since qualifying
10
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704
Phone: (888) 789-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 17742 Aguamiel Rd, San Diego, CA 92127-1036 — (610) 931-4098
  • 320 1st St N Ste 101, Jacksonville Beach, FL 32250-6956 — (866) 923-5038

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95006480 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95006480 (CA)

Record details

NPI number1194243790
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 2, 2017
Last updated in NPPESMarch 28, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Northeast Valley Health Corporation — 76 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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