NPIMap

Individual provider Active NPI

John D Adeiza, NP

  • Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1174918585
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001818 Issued in CA
Practice address
106 S Grape St Ste 4
Escondido, CA 92025-4407
Phone
(888) 628-6688
NPI assigned
Apr 2, 2015
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001818 CA Primary

Addresses

Primary practice location

106 S Grape St Ste 4
Escondido, CA 92025-4407

Mailing address

106 S Grape St Ste 4
Escondido, CA 92025-4407
Phone (858) 546-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102000715 CA Practitioner - Nurse Practitioner 9234417890 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Tree Nursing CorporationGroup PAC ID 1759871874, 4 clinicians
Unity Health Care Nursing PCGroup PAC ID 0941600720, 2 clinicians
Restore Medical GroupGroup PAC ID 1355871161, 3 clinicians

Practice addresses (Care Compare)

Lemon Grove, CA 91945
Phone (213) 663-8836

Escondido, CA 92027
Phone (858) 366-0977

502 Euclid Ave
Suite 200
National City, CA 91950-2984
Phone (858) 546-4300

7227 Broadway
Suite 402
Lemon Grove, CA 91945-1505
Phone (619) 253-6451

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Tobon-Chung FNP a Professional Nursing Corporation CurrentSince Aug 15, 2024 Accepting new patients
Unity Health Care Nursing PC CurrentSince Dec 1, 2021 Accepting new patients
Olive Tree Nursing Corporation CurrentSince Sep 27, 2025 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 16, 2023 Accepting new patients
Restore Medical Group CurrentSince Apr 15, 2025 Accepting new patients
Cristina Tobon-Chung FNP a Professional Medical Corporation CurrentSince Jun 4, 2023 Accepting new patients
Shafi Khalid MD PC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

106 S Grape St
Ste 4
Escondido, CA 92025
Phone (619) 839-7141

7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451

7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836

502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1174918585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S GRAPE ST STE 4",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "858-546-4300",
            "fax_number": "858-876-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S GRAPE ST STE 4",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "888-628-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEIZA",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.