Individual provider Active NPI

Adebimpe Blessing Ogunsefunmi, NP-C

  • Family Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1093269722
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033275 Issued in CA
Practice address
611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone
(650) 761-4056
NPI assigned
Aug 11, 2016
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355748 NY
Nurse Practitioner 363L00000X AP130385 TX
Family Nurse Practitioner 363LF0000X 95033275 CA Primary
Family Nurse Practitioner 363LF0000X AP130385 TX
Family Nurse Practitioner 363LF0000X APRN11038585 FL
Primary Care Nurse Practitioner 363LP2300X AP130385 TX

Addresses

Primary practice location

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

333 SE 2nd Ave Ste 2000
Miami, FL 33131-2185
Phone (650) 761-4056

Other practice location 2

9 Greenway Plz Ste 2950
Houston, TX 77046-0924
Phone (866) 607-7334

Other practice location 3

121 W 36th St # 237
New York, NY 10018-3612
Phone (650) 761-4056

Other practice location 4

13105 Wortham Center Dr
Houston, TX 77065-5611
Phone (713) 442-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, FL, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161012002691 TX Practitioner - Nurse Practitioner 8628366325 Reassigns benefits to 2 organizations
I20250528002093 CA Practitioner - Nurse Practitioner 8628366325 Reassigns benefits to 1 organization
I20250611003209 FL Practitioner - Nurse Practitioner 8628366325 Reassigns benefits to 1 organization
I20251129000550 NY Practitioner - Nurse Practitioner 8628366325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dreem Sleep Clinic PAGroup PAC ID 6608382395, 11 clinicians
Dreem Health Sleep Clinic, P.a.Group PAC ID 6901325463, 7 clinicians
Dreem Sleep Clinic of CaliforniaGroup PAC ID 1456744598, 32 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Austin, TX 78705-5654
Phone (650) 761-4056

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (650) 761-4056

611 Gateway Blvd
Suite 120
South San Francisco, CA 94080-7066
Phone (650) 761-4056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355748NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tele-Medicine Medical Practice of New York, P.C. CurrentSince Nov 12, 2025 Accepting new patients
Dreem Sleep Clinic, P.a. CurrentSince Jul 1, 2025 Accepting new patients
Dreem Health Sleep Clinic, P.a. CurrentSince Apr 10, 2025 Accepting new patients
Dreem Sleep Clinic of California CurrentSince Jun 30, 2025 Accepting new patients
Kandu Medical Services West PC CurrentSince Jun 9, 2025 Accepting new patients
Kandu Medical Services East Chartered PastSince Jan 21, 2024 Accepting new patients

Locations

210 E Hacienda Ave
Campbell, CA 95008
Phone (408) 874-1823

611 Gateway Blvd
Ste 120
South San Francisco, CA 94080
Phone (650) 480-6023

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

121 W 36th St
#237
New York, NY 10018
Phone (650) 761-4056

121 W 36th St
Ste 237
New York, NY 10018

2021 Guadalupe St
Austin, TX 78705
Phone (512) 469-2968

5833 Dolores St
Houston, TX 77057

Organizations & group practices 6

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1093269722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "650-761-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 SE 2nd Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312185",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Greenway Plz Ste 2950",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770460924",
            "country_code": "US",
            "telephone_number": "866-607-7334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 W 36th St # 237",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100183612",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13105 Wortham Center Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770655611",
            "country_code": "US",
            "telephone_number": "713-442-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNSEFUNMI",
        "first_name": "ADEBIMPE",
        "middle_name": "BLESSING",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355748",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033275",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130385",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038585",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP130385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.