Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891728663 Individual Practitioner Male Practitioner

Dr. Ebenezer Odunusi , MD

Pediatrics • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ebenezer Odunusi, MD is a registered healthcare professional specializing in Pediatrics in Lancaster, CA. Practice services are available at 44469 10TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44469 10th St W

Lancaster, CA 935343324

Telephone 6619459411
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Lancaster, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A82385

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
HSP40248F (CA)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Lina Sosoian , MBCHB

Student in an Organized Health Care Education/Training Program

NPI 1215199518
Dr. Anupam Singla , MD

Internal Medicine

NPI 1356379275

Doctor of Medicine (M.D.)

Dr. Charles Rocamboli , DO

Family Medicine - Adult Medicine

NPI 1366639049

Doctor of Osteopathic Medicine (D.O.)

Marsha Trochim , RN NP

Registered Nurse - Women's Health Care, Ambulatory

NPI 1508962127

RNNP

Dr. Tuan Phan , MD

Family Medicine

NPI 1689633992

Doctor of Medicine (M.D.)

NPI 1730558958

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 21, 2020

Registered at 44469 10TH ST W, LANCASTER, CA 935343324 (Tel: 6619459411)

📍
Updated Business Mailing Address April 21, 2020

Registered at 44469 10TH ST W, LANCASTER, CA 935343324 (Tel: 6619459411)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1441 CONSTITUTION BLVD, SALINAS, CA 939063100 (Tel: 8317554111)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 80007, SALINAS, CA 939120007 (Tel: 8317554111)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as EBENEZER ODUNUSI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #A82385 in CA)

🟢
Initial NPI Registration & Enumeration July 07, 2006

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: 1891728663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: April 21, 2020
Sole Proprietor: No

Mailing Address

44469 10th St W

Lancaster, CA 935343324

Phone: 6619459411

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.