Individual provider Active NPI

Adeola Oni-Orisan, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1124523774
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167053 Issued in CA
Practice address
4860 Y St
Sacramento, CA 95817-2307
Phone
(916) 734-3160
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A167053 CA Primary

Addresses

Primary practice location

4860 Y St
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 2320
Sacramento, CA 95817-2307
Phone (916) 734-3160

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310002282 CA Practitioner - Family Practice 0941695837 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167053CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 6, 2022 Accepting new patients
Regents of the Univ of Ca Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Cares Community Health CurrentSince Sep 30, 2023 Accepting new patients
Cares Community Health CurrentSince Sep 30, 2023 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Jul 22, 2025 Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Planned Parenthood Shasta Diablo Inc PastSince Jul 22, 2025 Accepting new patients
Regents of the Univ of Ca PastSince Nov 6, 2022 Accepting new patients
South Wind Women'S Center, LLC Past Accepting new patients

Locations

3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

1325 Travis Blvd
Fairfield, CA 94533
Phone (707) 427-2222

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

4860 Y St
Ste 2320
Sacramento, CA 95817
Phone (916) 734-2833

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010

Interoperability endpoints

  • Direct secure messaging: aoniorisan607106@direct.ochin.org
  • Direct secure messaging: adeola.oni-orisan@332828990373892.direct.elationemr.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1124523774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 2320",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONI-ORISAN",
        "first_name": "ADEOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.