Individual provider Active NPI

Adeduntan Olabisi Oke, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Cordova, CA
National Provider Identifier
1457010860
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025384 Issued in CA
Practice address
3957 Mirecourt Cir
Rancho Cordova, CA 95742-6786
Phone
(215) 687-5944
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025384 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11016552 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95025384 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025384 CA Primary

Addresses

Primary practice location

3957 Mirecourt Cir
Rancho Cordova, CA 95742-6786

Mailing address

3957 Mirecourt Cir
Rancho Cordova, CA 95742-6786
Phone (215) 687-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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
I20220112002846 FL Practitioner - Nurse Practitioner 7810389319 Reassigns benefits to 1 organization
I20250422002801 CA Practitioner - Nurse Practitioner 7810389319 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025384CAMDNurse Practitioner
NP95025384CAMDPsychiatric/Mental Health Nurse Practitioner
11016552FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health Current Accepting new patients
MCR Health, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Ampla Health CurrentSince Oct 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Mar 14, 2025 Accepting new patients
Ampla Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: adeduntan.oke@ampla.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1457010860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 MIRECOURT CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426786",
            "telephone_number": "215-687-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 MIRECOURT CIR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426786",
            "telephone_number": "215-687-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKE",
        "first_name": "ADEDUNTAN",
        "middle_name": "OLABISI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11016552",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95025384",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.