Andrew A Adesida

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA25768 Issued in CA

Practice address

13024 Hesperia Rd Ste 101
Victorville, CA 92395-8303

Phone

(760) 951-4811

Fax

(760) 951-4833

NPI assigned

Feb 14, 2007

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Male

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrew S Florea MD IncGroup PAC ID 1951439124, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew S. Florea MD, Inc.

  • Otolaryngology Physician
  • Corona, CA
  • NPI 1437471455
  Medicare reassignment Care Compare group
• Industrial Medical Services & Urgent Care Incorporation

  • Primary Care Clinic/Center
  • Victorville, CA
  • NPI 1417637919
  NPD Authorized official
• Industrial Medical Services & Urgent Care Incorporation

  • Urgent Care Clinic/Center
  • Victorville, CA
  • NPI 1598096315
  NPD Authorized official
• Team Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Victorville, CA
  • NPI 1881925600
  Authorized official Same address or phone

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1528101201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 HALLWOOD DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 HESPERIA RD STE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958303",
            "telephone_number": "760-951-4811",
            "fax_number": "760-951-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESIDA",
        "first_name": "ANDREW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA25768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ellena Acosta
• Active Care Chiropractic, Inc. by Dr. Sara
• Active Mobility Center Inc.
• Linda R Adams Pettersson, LVN
• Katherine Bell Adams
• Lyle Fredric Adkisson
• David Adling
• Adokiye Enterprises (Curt's Pharmacy)
• Adrian Tripp MD Medical Corporation
• David Adubi, DNP

• Medical Physician Assistant in Victorville, CA
• Providers in Victorville, CA by specialty
• 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.