Individual provider Active NPI

Oluwadamilola Aderibigbe

  • Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1063133387
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025815 Issued in CA
Practice address
43830 10TH St W
Lancaster, CA 93534-4826
Phone
(201) 654-6397
Fax
(201) 917-3603
NPI assigned
Sep 6, 2022
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025815 CA Primary

Addresses

Primary practice location

43830 10TH St W
Lancaster, CA 93534-4826

Mailing address

12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Phone (818) 896-1161

Other identifiers 3

IdentifierTypeStateIssuer
7420MedicaidCA
7068MedicaidCA
6758MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240319003501 CA Practitioner - Nurse Practitioner 8224475793 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians
West Coast Health and Rehab PCGroup PAC ID 8325315609, 29 clinicians

Practice addresses (Care Compare)

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

43830 10TH St W
Lancaster, CA 93534-4826
Phone (201) 308-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC CurrentSince Nov 1, 2025 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Feb 5, 2024 Accepting new patients
Geri Connection CurrentSince Feb 5, 2024 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Jul 20, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Feb 5, 2024 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Feb 5, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

43830 10th St W
Lancaster, CA 93534
Phone (661) 494-8600

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

2415 S Western Ave
#1182
Los Angeles, CA 90018

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1063133387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 VAN NUYS BLVD STE 200",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311393",
            "telephone_number": "818-896-1161",
            "fax_number": "818-896-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43830 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344826",
            "telephone_number": "201-654-6397",
            "fax_number": "201-917-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERIBIGBE",
        "first_name": "OLUWADAMILOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.