Healthcare Provider Details

I. General information

NPI: 1952240673
Provider Name (Legal Business Name): OLAJUMOKE OMIYALE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: OLAJUMOKE ZELLER DNP

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 TIERNEY PL
MARTINEZ CA
94553-4435
US

IV. Provider business mailing address

321 TIERNEY PL
MARTINEZ CA
94553-4435
US

V. Phone/Fax

Practice location:
  • Phone: 347-279-0153
  • Fax:
Mailing address:
  • Phone: 347-279-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number95043138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: