Individual provider Active NPI

Fehintolu Gbemisola Bada, NP

  • Primary Care Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1538748520
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95017080 Issued in CA
Practice address
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone
(818) 654-3887
Fax
(818) 975-5061
NPI assigned
Apr 6, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017080 CA
Primary Care Nurse Practitioner 363LP2300X 95017080 CA Primary

Addresses

Primary practice location

320 E Palmdale Blvd
Palmdale, CA 93550-4598

Mailing address

43923 Spring St
Lancaster, CA 93536-2453
Phone (818) 744-7239

Other names 1

  • Fehintolu Gbemisola Bada Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210816003776 CA Practitioner - Nurse Practitioner 7315342276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians
Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

28212 Kelly Johnson Pkwy
Suite 200
Valencia, CA 91355-5090
Phone (213) 228-3538

320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone (800) 996-1051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PC Medical Clinic Inc Family CurrentSince Aug 2, 2021 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 19, 2023 Accepting new patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 19, 2023 Accepting new patients
Izuchukwu Okpara MD Inc CurrentSince Aug 23, 2024 Accepting new patients
Palmdale Medical Clinic Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

1601 W Avenue J
Lancaster, CA 93534
Phone (661) 945-1835

320 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 729-9000

38780 Trade Center Dr
Ste 1C
Palmdale, CA 93551
Phone (661) 947-5600

5430 Arlington Ave
Riverside, CA 92504
Phone (714) 458-4617

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

27141 Hidaway Ave
Ste 204
Santa Clarita, CA 91351
Phone (661) 397-1177

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

28212 Kelly Johnson Pkwy
Ste 200
Valencia, CA 91355
Phone (661) 388-5945

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1538748520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43923 SPRING ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362453",
            "telephone_number": "818-744-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504598",
            "telephone_number": "818-654-3887",
            "fax_number": "818-975-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADA",
        "first_name": "FEHINTOLU",
        "middle_name": "GBEMISOLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017080",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95017080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEHINTOLU",
            "last_name": "BADA",
            "middle_name": "GBEMISOLA",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.