Individual provider Active NPI

Adaobi Maureen Adimorah

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Desert, CA
National Provider Identifier
1114429719
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021094 Issued in CA
Practice address
73700 Dinah Shore Dr
Palm Desert, CA 92211-0813
Phone
(760) 832-6352
Fax
(760) 832-6328
NPI assigned
Feb 28, 2018
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021094 CA Primary
Registered Nurse 163W00000X 833377 CA

Addresses

Primary practice location

73700 Dinah Shore Dr
Palm Desert, CA 92211-0813

Mailing address

73700 Dinah Shore Dr
Palm Desert, CA 92211-0813
Phone (760) 832-6352

Other practice location 1

1001 E Cooley Dr
Colton, CA 92324-3941
Phone (909) 370-4700

Other practice location 2

1003 E Cooley Dr Ste 211
Colton, CA 92324-3907
Phone (909) 429-3244

Other practice location 3

1430 E Cooley Dr Ste 112
Colton, CA 92324-3934
Phone (909) 792-6262

Other practice location 4

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3145

Other practice location 5

1007 E Cooley Dr # 111
Colton, CA 92324-3901
Phone (909) 300-0661

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
I20221202001068 CA Practitioner - Nurse Practitioner 7113396706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021094CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince May 15, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince May 15, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health PastSince Dec 21, 2021 Accepting new patients

Locations

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

81709 Doctor Carreon Blvd
Ste C1
Indio, CA 92201
Phone (760) 330-5161

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

73345 Highway 111
Ste 203
Palm Desert, CA 92260
Phone (760) 340-3158

73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

3625 Del Amo Blvd
Ste 120
Torrance, CA 90503
Phone (310) 802-7352

34675 Yucaipa Blvd
Ste 108
Yucaipa, CA 92399
Phone (909) 793-9596

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1114429719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73700 DINAH SHORE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110813",
            "telephone_number": "760-832-6352",
            "fax_number": "760-832-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73700 DINAH SHORE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110813",
            "telephone_number": "760-832-6352",
            "fax_number": "760-832-6328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Cooley Dr",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243941",
            "country_code": "US",
            "telephone_number": "909-370-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 E Cooley Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243907",
            "country_code": "US",
            "telephone_number": "909-429-3244",
            "fax_number": "909-981-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 E Cooley Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243934",
            "country_code": "US",
            "telephone_number": "909-792-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-3145",
            "fax_number": "909-580-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 E Cooley Dr # 111",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243901",
            "country_code": "US",
            "telephone_number": "909-300-0661",
            "fax_number": "909-280-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIMORAH",
        "first_name": "ADAOBI",
        "middle_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021094",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "833377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.