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Deactivated NPI 1114918026 Deactivated / Inactive NPI Male Practitioner

Dr. Adebambo Osibamiro , MD

Anesthesiology • Carson, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Adebambo Osibamiro has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2005
NPI Deactivation Date March 20, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Adebambo Osibamiro, MD was a registered Anesthesiology practicing in Carson, CA. Throughout an active medical career spanning 19 years, Dr. Osibamiro provided care at the practice location at 2637 E CARSON ST until profile deactivation on 2024-03-20.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, anesthesia for lens surgery, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2637 E Carson St

Carson, CA 908101508

Telephone 3108471321
Associated Practice Facility / Clinic
🏢 Ade Osibamiro Md Inc Facility NPI 1073547220

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Carson, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Carson, CA (7879 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
39 18 $115.00 $79.29
00142 Anesthesia for lens surgery
25 24 $1558.48 $92.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 14 $178.00 $139.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
13 11 $280.00 $141.10

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License CA A64972

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861898462

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2024

General Practice (License #A64972 in CA)

NPI Profile Active July 21, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address July 21, 2017

Registered at P O BOX 1007, MURRIETA, CA 925641007 (Tel: 9517193330)

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Updated Practice Location July 21, 2017

Registered at 2637 E CARSON ST, CARSON, CA 908101508 (Tel: 3108471321)

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Provider Name / Credentials Updated July 21, 2017

Recorded as ADEBAMBO OSIBAMIRO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2017

General Practice (License #A64972 in CA)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2017

Anesthesiology (License #A64972 in CA)

NPI Profile Active April 30, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 30, 2013

Registered at 2637 E CARSON ST, CARSON, CA 908101508 (Tel: 3108471321)

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Updated Business Mailing Address April 30, 2013

Registered at 210 N TUSTIN AVE, SANTA ANA, CA 927053807 (Tel: 8008837243)

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Provider Name / Credentials Updated April 30, 2013

Recorded as ADEBAMBO OSIBAMIRO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2013

Anesthesiology (License #A64972 in CA)

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Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114918026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: April 30, 2013
Deactivation Date: March 20, 2024

Mailing Address

210 N Tustin Ave

Santa Ana, CA 927053807

Phone: 8008837243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.