Individual provider Active NPI

Oluwafemi A Adeyemo, M.D.

  • Psychiatry Physician
  • Hemet, CA
National Provider Identifier
1235166018
Registry record updated Aug 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A86706 Issued in CA
Practice address
1800 E Florida Ave
Suite 350
Hemet, CA 92544-4701
Phone
(951) 492-0728
Fax
(951) 492-0745
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A86706 CA Primary

Addresses

Primary practice location

1800 E Florida Ave
Suite 350
Hemet, CA 92544-4701

Mailing address

PO Box 358
San Jacinto, CA 92581-0358
Phone (951) 492-0728

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
I20041014000733 CA Practitioner - Psychiatry 4284694134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

361 N San Jacinto St
Suite Abc
Hemet, CA 92543-3118
Phone (951) 492-0728

National Provider Directory

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

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Oluwafemi Adeyemo,M.D Professional Medical Corporation CurrentSince Sep 3, 2007 Accepting new patients
C.V. Mehta MD Medical Corporation Past Accepting new patients

Locations

1800 E Florida Ave
Ste 350
Hemet, CA 92544
Phone (951) 492-0728

540 N San Jacinto St
Ste C
Hemet, CA 92543
Phone (951) 492-0728

361 N San Jacinto St
Ste Abc
Hemet, CA 92543
Phone (951) 492-0728

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1235166018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925810358",
            "telephone_number": "951-492-0728",
            "fax_number": "951-492-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E FLORIDA AVE",
            "address_2": "SUITE 350",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444701",
            "telephone_number": "951-492-0728",
            "fax_number": "951-492-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "OLUWAFEMI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A86706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.