Ayomidamope Ruth Adebiyi, NP
Individual provider Active NPI Family Nurse Practitioner · Merced, CA
NPI 1558039255 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1558039255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95018229 (CA)
- Practice address
- 5200 N Lake Rd
Merced, CA 95343-5001 - Phone
- (209) 228-0010
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018229 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile-Med Work Health Solutions, Inc. | Current |
Accepting new patients |
Locations
5200 N Lake Rd
Merced, CA 95343
Phone (209) 228-2468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95018229 | CA | Yes |
| Occupational Health Nurse Practitioner | 363LX0106X | 95018229 | CA |
Addresses
Primary practice location
5200 N Lake Rd
Merced, CA 95343-5001
Mailing address
5200 N Lake Rd
Merced, CA 95343-5001
Other providers in Merced, CA
- Active Transport Medical Services, LLC
- Nadir Edmon Adam
- Philip Lenhard Adam
- Joleen Adams
- Whallen Adams
- Stella Nwasoka Adesokan
- Nancy Adinolfi
- Adrian Fedele, M.D.
- James Eric Adrian
- Neil Carl Adrian
All providers in Merced, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. 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.