Bamidele A Adetunji
Individual provider Active NPI Family Nurse Practitioner · Marysville, CA
NPI 1326883240 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1326883240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95019581 (CA)
- Practice address
- 608 J St
Marysville, CA 95901-5413 - Phone
- (530) 749-4180
- Fax
- (530) 740-5150
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ampla Health
Practice addresses (Care Compare)
2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500
608 J St
Marysville, CA 95901-5413
Phone (530) 749-4180
Hospital & facility affiliations
- Oroville Hospital
- Adventist Health and Rideout
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250602000856 | CA | Practitioner - Nurse Practitioner | 3072022110 | Reassigns benefits to 2 organizations |
| I20260423002134 | NV | Practitioner - Nurse Practitioner | 3072022110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN307537 | AZ | MD | General Practice Registered Nurse |
| RN656881 | CA | MD | General Practice Registered Nurse |
| RN70706 | NV | MD | General Practice Registered Nurse |
| RN41231 | RI | MD | General Practice Registered Nurse |
| 882337 | NV | MD | Nurse Practitioner |
| 95019581 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | Nurse Practitioner | Current |
Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
608 J St
Marysville, CA 95901
Phone (530) 749-4180
2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
935 Market St
Yuba City, CA 95991
Phone (530) 674-4261
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- bamidele.adetunji@ampla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 882337 | NV | |
| General Practice Registered Nurse | 163WG0000X | RN41231 | RI | |
| General Practice Registered Nurse | 163WG0000X | RN70706 | NV | |
| General Practice Registered Nurse | 163WG0000X | RN307537 | AZ | |
| General Practice Registered Nurse | 163WG0000X | RN656881 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95019581 | CA | Yes |
Addresses
Primary practice location
608 J St
Marysville, CA 95901-5413
Mailing address
3399 S Eastern Ave
Las Vegas, NV 89169-3312
Phone (702) 444-0438
Other practice location 1
3399 S Eastern Ave
Las Vegas, NV 89169-3312
Phone (702) 444-0438
Other providers in Marysville, CA
- Shairah Myrrh Dajao Acojedo
- Jose Javier Acosta
- Mia Acosta
- Rose Acosta
- Krystine Nichole Adams
- Scott Adrian
- Advanced Cardiovascular and Thoracic Surgical Associates Inc
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Marysville, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.