Adebayo Adeniyi Adetola
Individual provider Active NPI Driver · Panorama City, CA
NPI 1467315770 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1467315770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 8525 Tobias Ave Apt 163
Panorama City, CA 91402-2957 - Phone
- (213) 815-6632
- NPI assigned
- Dec 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | Yes |
Addresses
Primary practice location
8525 Tobias Ave Apt 163
Panorama City, CA 91402-2957
Mailing address
8525 Tobias Ave Apt 163
Panorama City, CA 91402-2957
Phone (213) 815-6632
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.