Individual provider Active NPI

Adedamola Ayodele Omole, MD

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1306473608
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A180926 Issued in CA
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(424) 366-4717
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A180926 CA
Family Medicine Physician 207Q00000X A180926 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

1025 N Douty St
Hanford, CA 93230-3722
Phone (424) 366-4717

Other practice location 1

1524 W Lacey Blvd
Hanford, CA 93230-5965
Phone (559) 537-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231011003727 CA Practitioner - Family Practice 4183079114 Reassigns benefits to 2 organizations
I20240729002342 CA Practitioner - Hospitalist 4183079114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180926CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Oct 16, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 18, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 18, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Oct 16, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1524 W Lacey Blvd
Hanford, CA 93230
Phone (559) 537-0284

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Organizations & group practices 8

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1306473608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "424-366-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "424-366-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 W Lacey Blvd",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305965",
            "country_code": "US",
            "telephone_number": "559-537-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMOLE",
        "first_name": "ADEDAMOLA",
        "middle_name": "AYODELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A180926",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A180926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.