Yekeen Adagbada Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011775 Issued in CA

Practice address

11049 Magnolia Blvd Apt 302
North Hollywood, CA 91601-5654

Phone

(773) 412-8828

NPI assigned

May 13, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gracelight Community HealthGroup PAC ID 3072619618, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yadagbada@landmarkhealth-direct.org
• Direct secure messaging: yekeen.adagbada.p1@direct.lakeside.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gracelight Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1104075282

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275

  Single Specialty

  Medicare reassignment NPD
• Gracelight Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1639241888
  NPD
• Global Mobile Medical Alliances, Inc.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1467960310

  Single Specialty

  NPD (past)
• Southland Renal Medical Group, Inc.

  • Nephrology Physician
  • Los Alamitos, CA
  • NPI 1205969748

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1003472309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11049 MAGNOLIA BLVD APT 302",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015654",
            "telephone_number": "773-412-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11049 MAGNOLIA BLVD APT 302",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015654",
            "telephone_number": "773-412-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAGBADA",
        "first_name": "YEKEEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95011775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niyanta Acharya, AMFT
• Raizza Queen Baniqued Acode, FNP-BC, NP-C
• Alyssa Terese Acosta, RN, BSN, RD
• Activities for Retarded Children
• Mark William Acton, DO
• Elianora Georgia Adamian, LMFT
• Cassandra Jean Adams
• Melonie Adams
• Adapthealth West, LLC
• Adaptive Nutrition

• Family Nurse Practitioner in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.