Active NPI
Michael Adeleke
- Health Maintenance Organization
- Los Angeles, CA
National Provider Identifier
1417028259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- PHY 46348
- Legal business name
- MICHAEL ADELEKE
- Practice address
- 11905 S Central Ave
Los Angeles, CA 90059-2836 - Phone
- (323) 564-6051
- Fax
- (323) 564-6053
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael F Adeleke
- Title
- Pharmacist
- Phone
- (323) 564-6051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | PHY 46348 | CA | Primary |
Addresses
Primary practice location
11905 S Central Ave
Los Angeles, CA 90059-2836
Mailing address
11905 S Central Ave
Los Angeles, CA 90059-2836
Phone (323) 564-6051
Other names 1
- THE PHARMACY
National Provider Directory
National Provider DirectoryLocations
11905 S Central Ave
Ste 101
Los Angeles, CA 90059
Phone (323) 564-6051
11905 S Central Ave
Los Angeles, CA 90059
Phone (323) 312-0145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513296000000",
"number": "1417028259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900592836",
"telephone_number": "323-564-6051",
"fax_number": "323-564-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11905 S CENTRAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900592836",
"telephone_number": "323-564-6051",
"fax_number": "323-564-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL ADELEKE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2017-12-15",
"status": "A",
"authorized_official_last_name": "ADELEKE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "323-564-6051"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "PHY 46348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.