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Active NPI 1508630104 Individual Practitioner Male Practitioner

Nickolas Olabode

Peer Specialist • South Gate, CA

Professional Overview & Biography Verified Profile Summary

Nickolas Olabode is a registered healthcare professional specializing in Peer Specialist in South Gate, CA. Practice services are available at 8921 CALIFORNIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8921 California Ave

South Gate, CA 902803013

Telephone 3234875002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in South Gate, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in South Gate, CA (4567 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: 2025-05-02
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

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

38 Associated Practitioners
Elaina Grey

Counselor - Addiction (Substance Use Disorder)

NPI 1033828421
Ronnie Fematt

Peer Specialist

NPI 1033901392
Xiao Li

Marriage & Family Therapist

NPI 1063204212
Jesse Ceja

Counselor - Addiction (Substance Use Disorder)

NPI 1093579732
Christopher Johnston

Counselor - Addiction (Substance Use Disorder)

NPI 1104512565
Ashley Rodriguez

Social Worker - Clinical

NPI 1114764347

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2023

Registered at 8921 CALIFORNIA AVE, SOUTH GATE, CA 902803013 (Tel: 3234875002)

📍
Updated Business Mailing Address November 14, 2023

Registered at 12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 906703771 (Tel: 5627777500)

👤
Provider Name / Credentials Updated November 14, 2023

Recorded as NICKOLAS OLABODE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2023

Counselor

🟢
Initial NPI Registration & Enumeration November 14, 2023

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: 1508630104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2023
Last Update: May 02, 2025
Sole Proprietor: Yes

Mailing Address

12070 Telegraph Rd

Santa Fe Springs, CA 906703771

Phone: 5627777500

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.