Debra Cardell Adewale, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11301 Issued in CA

Practice address

7301 S Western Ave
Los Angeles, CA 90047-2254

Phone

(323) 778-2131

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Physician Assistant

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florence Western Medical Clinic IncGroup PAC ID 1850485962, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Florence Western Medical Clinic Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1154347797

  CA

  Medicare reassignment Care Compare group
• Western Health Care, a Professional Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902906068

  CA

  Medicare reassignment

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1407910763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 6TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432623",
            "telephone_number": "213-804-1305",
            "fax_number": "323-704-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472254",
            "telephone_number": "323-778-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373159",
            "country_code": "US",
            "telephone_number": "323-232-2601",
            "fax_number": "323-232-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEWALE",
        "first_name": "DEBRA",
        "middle_name": "CARDELL",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Adery, PHD
• Joyce Adesina, M.D.
• Nayiri Adessian, MS, CCC-SLP
• Opeposi Adetunji
• Adedunmola Praise Adewale, MD
• Scarlett Adewale, LCSW
• Virginia Adesola Adewole, MD
• Mopelola Adetola Adeyemo, M.D.
• Oladunni B Adeyiga, MD
• Sarah Adeyinka-Skold, LCSW

• All providers in Los Angeles, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.