Active NPI
Adijat Omobolanle Ligali
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95025305
- Practice address
- 1111 6TH Ave Ste 204
San Diego, CA 92101-5214 - Phone
- (415) 671-2165
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95025305 | CA | Primary |
| Registered Nurse | 163W00000X | 95186824 | CA |
Addresses
Primary practice location
1111 6TH Ave Ste 204
San Diego, CA 92101-5214
Mailing address
2350 Buhne St
Eureka, CA 95501-3238
Phone (707) 443-4593
Other practice location 1
2350 Buhne St
Eureka, CA 95501-3238
Phone (707) 443-4593
Other practice location 2
25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596
Phone (818) 600-2034
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95186824 | CA | MD | Registered Nurse |
| 95025305 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| New U Therapy Center & Family Services Inc. | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Psychiatric/Mental Health
-
- Marriage & Family Therapist
- Valencia, CA
- NPI 1568821692
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1124782115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BUHNE ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013238",
"telephone_number": "707-443-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015214",
"telephone_number": "415-671-2165"
}
],
"practiceLocations": [
{
"address_1": "2350 Buhne St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955013238",
"country_code": "US",
"telephone_number": "707-443-4593",
"fax_number": "707-269-7116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25000 Avenue Stanford Ste 167",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913554596",
"country_code": "US",
"telephone_number": "818-600-2034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGALI",
"first_name": "ADIJAT",
"middle_name": "OMOBOLANLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95025305",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95186824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.