Look up the most recent NPI and PECOS records

Otito Odiakosa

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Otito Odiakosa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1811647555
Provider Type
Individual
Full Name
Odiakosa, Otito
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/25/2022
Last Updated
7/21/2025

Contact Information

Practice Location

1025 N Douty St, Hanford, CA 93230-3722

(559) 537-0170

Unlisted Fax

Mailing Location

1025 N Douty St, Hanford, CA 93230-3722

(559) 537-0170

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A197291 California

Provider Identifiers

ID	Description	Issuer
ID Y5612353	Description Other	Issuer DRIVER'S LICENSE California

Otito Odiakosa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Knudson, Allan A

Scott-Tomlinson, Tasha

Tomlinson Medical Associates

Michael K Lloyd Md Inc

Weisenberger, John Edward

Hanjraa, Loveleen

Central Valley Comprehensive Care Inc.

Eric N Sorensen M.D. Inc.

Urrutia, Nicholas Daniel

Tisoy, John Rio B.