Active NPI
Yewande Adeshina, M.D.
- Family Medicine Physician
- Anderson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-159909
- Practice address
- 2965 East St
Anderson, CA 96007-3481 - Phone
- (530) 378-0486
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, CA, DC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-159909 | CA | MD | Family Medicine Physician |
| ME140903 | FL | MD | Family Medicine Physician |
| MD25575 | ME | MD | Family Medicine Physician |
| MD471423 | PA | MD | Family Medicine Physician |
| 11897A | WY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Family Medicine | Current | Accepting new patients |
| Campbell County Hospital District | Current | Accepting new patients | |
| Northern Valley Indian Health Inc | Current | Accepting new patients | |
| Campbell County Hospital District | Family Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Current | Accepting new patients | |
| Northern Valley Indian Health Inc | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | 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
- 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.
-
dba Greenley Primary Care
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
Family Medicine
-
- Clinic/Center
- Chico, CA
- NPI 1750031548
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
dba Campbell County Medical Group Audiology
- Audiologist
- Gillette, WY
- NPI 1073976155
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
dba Nova Medical Group, Nova Urgent Care
- Family Medicine Physician
- Ashburn, VA
- NPI 1588683742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.