Active NPI
Kwasi Adusei
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
National Provider Identifier
1073157491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028965
- Practice address
- 3706 Hillview St
Oakland, CA 94602-3333 - Phone
- (631) 524-1522
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95355854 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 704361 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402811-01 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028965 | CA | Primary |
Addresses
Primary practice location
3706 Hillview St
Oakland, CA 94602-3333
Mailing address
1401 21St St
Sacramento, CA 95811-5226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95355854 | CA | MD | Registered Nurse |
| 704361 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 95028965 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 402811-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services | Past | Accepting new patients | |
| Horizon Village | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Sanborn, NY
- NPI 1326344409
-
- Substance Abuse Rehabilitation Facility
- Sanborn, NY
- NPI 1902063522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1073157491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"fax_number": "631-986-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 HILLVIEW ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023333",
"telephone_number": "631-524-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUSEI",
"first_name": "KWASI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95355854",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "704361",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402811-01",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95028965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.