Active NPI
Adekanbi Ogunade
- Clinical Social Worker
- Concord, CA
National Provider Identifier
1568695542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1430 Willow Pass Rd
Concord, CA 94520-7928 - Phone
- (925) 288-3913
- NPI assigned
- Aug 25, 2009
- Last updated
- Feb 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1430 Willow Pass Rd
Concord, CA 94520-7928
Mailing address
982 Mission St
San Francisco, CA 94103-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1568695542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 WILLOW PASS RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207928",
"telephone_number": "925-288-3913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNADE",
"first_name": "ADEKANBI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.