Individual provider Active NPI

Bamidele A Adetunji

  • Family Nurse Practitioner
  • Marysville, CA
National Provider Identifier
1326883240
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019581 Issued in CA
Practice address
608 J St
Marysville, CA 95901-5413
Phone
(530) 749-4180
Fax
(530) 740-5150
NPI assigned
Jul 1, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250602000856 CA Practitioner - Nurse Practitioner 3072022110 Reassigns benefits to 2 organizations
I20260423002134 NV Practitioner - Nurse Practitioner 3072022110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, shared by 17 NPIs, 105 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN307537AZMDGeneral Practice Registered Nurse
RN656881CAMDGeneral Practice Registered Nurse
RN70706NVMDGeneral Practice Registered Nurse
RN41231RIMDGeneral Practice Registered Nurse
882337NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC Nurse Practitioner CurrentSince Apr 21, 2025 Accepting new patients
Ampla Health CurrentSince Aug 1, 2025 Accepting new patients
Ampla Health 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) 673-9420

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

  • Direct secure messaging: bamidele.adetunji@ampla.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1326883240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693312",
            "telephone_number": "702-444-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 J ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015413",
            "telephone_number": "530-749-4180",
            "fax_number": "530-740-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3399 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693312",
            "country_code": "US",
            "telephone_number": "702-444-0438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADETUNJI",
        "first_name": "BAMIDELE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "882337",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "RI",
            "license": "RN41231",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "RN70706",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN307537",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "RN656881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.