Sunday Adeyeye, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95010038 Issued in CA

Practice address

1906 Commercenter E Ste 210
San Bernardino, CA 92408-3424

Phone

(909) 567-2575

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Health Service AllianceGroup PAC ID 4587642467, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Health Service Alliance

  • Family Medicine Physician
  • Chino, CA
  • NPI 1801307368
  Medicare reassignment Care Compare group NPD
• Peacefulness Mental Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
  • NPI 1386480200
  Medicare reassignment NPD Authorized official
• Alidad Zadeh DO, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • El Centro, CA
  • NPI 1912666827
  Medicare reassignment NPD
• Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1639066491
  Medicare reassignment NPD
• Health Service Alliance

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1689492167
  NPD
• Health Service Alliance

  • Psychologist
  • Claremont, CA
  • NPI 1720675986
  NPD
• Unicare Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Colton, CA
  • NPI 1447604582
  NPD

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1649754292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540062",
            "telephone_number": "909-648-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COMMERCENTER E STE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083424",
            "telephone_number": "909-567-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765230",
            "country_code": "US",
            "telephone_number": "909-421-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEYE",
        "first_name": "SUNDAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.

Verify at the official NPI Registry.