Adegbenga a Adetola M D Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ADEGBENGA A ADETOLA M D INC

Practice address

3737 Martin Luther King Jr Blvd Ste 400
Lynwood, CA 90262-3542

Phone

(310) 631-2838

Fax

(310) 632-4701

NPI assigned

Apr 16, 2010

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adetola Adegbenga, M.D.

Title

Doctor

Phone

(310) 631-2838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adegbenga A Adetola, MD

  • Nephrology Physician
  • Lynwood, CA
  • NPI 1881776219
  Medicare reassignment NPD
• Ryan Dennis Church, FNP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1912909714
  NPD (past)

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1205152139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 400",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623542",
            "telephone_number": "310-631-2838",
            "fax_number": "310-632-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 400",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623542",
            "telephone_number": "310-631-2838",
            "fax_number": "310-632-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEGBENGA A ADETOLA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "ADEGBENGA",
        "authorized_official_first_name": "ADETOLA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-631-2838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abio Group Inc
• Jilbert Abnoosian, PA
• Nellie M Acevedo, RDA
• Mayra Aceves
• Addiction Research and Treatment, Inc (BAART Programs Lynwood)
• Adegbenga A Adetola, MD
• Ag Lynwood, LLC (Lynwood Healthcare Center)
• Arlet Agazaryan, D.C.
• Brisa Aidee Aguilar
• Ruben Aguilera

• Nephrology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.