Hakeem O. Adeniyi Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Vallejo, CA
NPI 1598083164 · NPPES record last updated Jan 4, 2013
Key facts
- NPI
- 1598083164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A116609 (CA)
- Practice address
- 220 Hospital Dr
Vallejo, CA 94589-2517 - Phone
- (707) 641-1900
- NPI assigned
- May 6, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sacramento Native American Health Center Inc
Practice addresses (Care Compare)
2020 J St
Sacramento, CA 95811-3120
Phone (916) 341-0575
3800 Florin Rd
Sacramento, CA 95823-1802
Phone (916) 341-0575
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130528000679 | CA | Practitioner - Family Practice | 9436397742 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- provider.test.d1.p1@direct.peachtreehealth.nextgenshare.com
- hakeem.adeniyi.p1@direct.snahc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A116609 | CA | Yes |
Addresses
Primary practice location
220 Hospital Dr
Vallejo, CA 94589-2517
Mailing address
220 Hospital Dr
Vallejo, CA 94589-2517
Phone (707) 641-1900
Other providers in Vallejo, CA
- Jhonnard James Acuna
- Sara Adabi
- James Adams
- Roshawn Renee Adams
- Dotun Ebenezer Adebiyi
- Adebusola Adesina
- Advanced Instruments Inc.
- Adventist Health Physicians Network
- Omid Afshari
- Eesha Aftab
All providers in Vallejo, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.