Organization Active NPI

Oluseyi Awodele M.D. a Professional Medical Corporation

  • Psychiatry Physician
  • Carlsbad, CA
National Provider Identifier
1326792128
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OLUSEYI AWODELE M.D. A PROFESSIONAL MEDICAL CORPORATION
Practice address
3257 Camino de Los Coches Ste 305
Carlsbad, CA 92009-8974
Phone
(619) 940-6269
Fax
(833) 330-2683
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Oluseyi Awodele, MDNPI 1235572983
Title
Physician
Phone
(760) 452-6387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Clinic/Center 261Q00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

3257 Camino de Los Coches Ste 305
Carlsbad, CA 92009-8974

Mailing address

3257 Camino de Los Coches Ste 305
Carlsbad, CA 92009-8974
Phone (760) 452-6387

Other names 1

  • BrainCare Performance Center Carlsbad Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.braincarecarlsbad.com/contact-us/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220823002051 CA Part B Supplier - Clinic/Group Practice 0941683031 Receives reassigned benefits from 3 practitioners
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

3257 Camino de los Coches
Ste 305
Carlsbad, CA 92009
Phone (310) 386-6788

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1326792128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 305",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "760-452-6387",
            "fax_number": "833-330-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 305",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "619-940-6269",
            "fax_number": "833-330-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUSEYI AWODELE M.D. A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "AWODELE",
        "authorized_official_first_name": "OLUSEYI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-452-6387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.braincarecarlsbad.com/contact-us/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3257 Camino De Los Coches Ste 305",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920098974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BrainCare Performance Center Carlsbad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.