Active NPI
Adedayo K Adebisi, NP
- Family Nurse Practitioner
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95020234
- Practice address
- 1207 E Florida Ave
Hemet, CA 92543-4513 - Phone
- (951) 925-2523
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95020234 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95020234 | CA |
Addresses
Primary practice location
1207 E Florida Ave
Hemet, CA 92543-4513
Mailing address
32912 Fleets Rd
Menifee, CA 92584-2914
Other practice location 1
41877 Enterprise Cir N Ste 200
Temecula, CA 92590-5628
Phone (909) 755-0585
Other practice location 2
1307 W 6th St Ste 105
Corona, CA 92882-1644
Phone (951) 482-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261AAE5S | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 W Pearl St
Pomona, CA 91768-3114
Phone (888) 256-3814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020234 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Plus, LLC | Current | Accepting new patients | |
| Oakcrest Behavioral Health | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540
1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109
9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481
215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750
8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842
41877 Enterprise Cir N
Ste 200
Temecula, CA 92590
Phone (909) 755-0585
304 N Melrose Dr
Vista, CA 92083
Phone (760) 724-8222
5716 Corsa Ave
Ste 110
Westlake Village, CA 91362
Phone (214) 440-3671
4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Temecula, CA
- NPI 1174471163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1538876552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32912 FLEETS RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925842914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434513",
"telephone_number": "951-925-2523"
}
],
"practiceLocations": [
{
"address_1": "41877 Enterprise Cir N Ste 200",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925905628",
"country_code": "US",
"telephone_number": "909-755-0585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1307 W 6th St Ste 105",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928821644",
"country_code": "US",
"telephone_number": "951-482-9183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADEBISI",
"first_name": "ADEDAYO",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020234",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95020234",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261AAE5S",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.