Individual provider Active NPI

Yewande Adeshina, M.D.

  • Family Medicine Physician
  • Anderson, CA
National Provider Identifier
1346334596
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-159909 Issued in CA
Practice address
2965 East St
Anderson, CA 96007-3481
Phone
(530) 378-0486
NPI assigned
Oct 3, 2006
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101233402 VA
Family Medicine Physician 207Q00000X ME140903 FL
Family Medicine Physician 207Q00000X MD471423 PA
Family Medicine Physician 207Q00000X 11897A WY
Family Medicine Physician 207Q00000X MD25575 ME
Family Medicine Physician 207Q00000X C-159909 CA Primary

Addresses

Primary practice location

2965 East St
Anderson, CA 96007-3481

Mailing address

39 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899

Other practice location 1

39 Bar Harbor Rd
Trenton, ME 04605
Phone (207) 667-5899

Other names 1

  • Wendy Adeshina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CA, DC, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200309002531 WY Practitioner - Family Practice 4880696582 Reassigns benefits to 1 organization
I20200805001425 CA Practitioner - Family Practice 4880696582 Reassigns benefits to 1 organization
I20220810000419 DC Practitioner - Family Practice 4880696582 Reassigns benefits to 1 organization
I20240430002507 TX Practitioner - Family Practice 4880696582 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-159909CAMDFamily Medicine Physician
ME140903FLMDFamily Medicine Physician
MD25575MEMDFamily Medicine Physician
MD471423PAMDFamily Medicine Physician
11897AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Family Medicine CurrentSince Jun 23, 2020 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Northern Valley Indian Health Inc CurrentSince May 1, 2024 Accepting new patients
Campbell County Hospital District Family Medicine Current Accepting new patients
Sonora Community Hospital CurrentSince Jun 23, 2020 Accepting new patients
Northern Valley Indian Health Inc CurrentSince May 1, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2020 Accepting new patients
Nova Medical and Urgent Care Center, Inc. Family Medicine Past Accepting new patients

Locations

19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

Interoperability endpoints

  • Direct secure messaging: yewande.adeshina.p4@direct.vht.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346334596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BAR HARBOR RD",
            "city": "TRENTON",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 EAST ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073481",
            "telephone_number": "530-378-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Bar Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "ME",
            "postal_code": "04605",
            "country_code": "US",
            "telephone_number": "207-667-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESHINA",
        "first_name": "YEWANDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101233402",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME140903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD471423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "11897A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD25575",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C-159909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "ADESHINA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anderson, CA

Sources for this page

Verify at the official NPI Registry.