Ayokunmi Aluko

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Santa Clara, CA

NPI 1144996802 · NPPES record last updated May 15, 2026

Key facts

NPI
1144996802
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
NP95032091 (CA)
Practice address
4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Phone
(323) 205-7088
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220422001265 NY Practitioner - Nurse Practitioner 8123424751 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
NP95032091CAMDPsychiatric/Mental Health Nurse Practitioner
11014983FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Aldad Medical PC Current
since Apr 1, 2022
Accepting new patients
East Point Medical PC Psychiatric/Mental Health Current
since Jan 17, 2024
Accepting new patients
Telemind Inc Psychiatric/Mental Health Past
since Oct 8, 2020
Accepting new patients

Locations

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95032091 CA Yes
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11014983 FL

Addresses

Primary practice location

4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846

Mailing address

4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Phone (323) 205-7088

Other practice location 1

6502 Bandera Rd Ste 200E
San Antonio, TX 78238-1454
Phone (210) 640-7779

Other practice location 2

1401 Montana Ave Ste B-9
El Paso, TX 79902-5673
Phone (915) 308-6800

Other practice location 3

2516 Buddy Owens Ave Ste 4
McAllen, TX 78504-5464
Phone (956) 368-1808

Other practice location 4

3227 Meade Ave Ste 5B
Las Vegas, NV 89102-7810
Phone (725) 333-2411

Other practice location 5

888 W 2nd St Ste 108
Reno, NV 89503-5640
Phone (775) 446-6300

Other providers in Santa Clara, CA

All providers in Santa Clara, CA · Psychiatric/Mental Health Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.