Provider Demographics
NPI:1831414770
Name:ONI-ORISAN, AKINWUNMI (MD)
Entity type:Individual
Prefix:
First Name:AKINWUNMI
Middle Name:
Last Name:ONI-ORISAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AKIN
Other - Middle Name:
Other - Last Name:ONI-ORISAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1700 N ROSE AVE STE 470
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7659
Mailing Address - Country:US
Mailing Address - Phone:805-988-2775
Mailing Address - Fax:805-278-1220
Practice Address - Street 1:1700 N ROSE AVE STE 470
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7659
Practice Address - Country:US
Practice Address - Phone:805-988-2775
Practice Address - Fax:805-278-1220
Is Sole Proprietor?:No
Enumeration Date:2010-04-04
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1095207T00000X
CAA162144207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB326756OtherMEDICARE
CA4690816OtherAETNA
CA9717951OtherCIGNA
CAP02311271OtherRAILROAD MEDICARE