Individual provider Active NPI

Mayowa Adesina, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1669170528
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024352 Issued in CA
Practice address
18484 US Highway 18 Ste 210
Apple Valley, CA 92307-2319
Phone
(760) 946-9133
Fax
(760) 946-9110
NPI assigned
Feb 21, 2023
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024352 CA Primary

Addresses

Primary practice location

18484 US Highway 18 Ste 210
Apple Valley, CA 92307-2319

Mailing address

24613 Hudson St
Moreno Valley, CA 92551-6973
Phone (909) 327-8360

Other practice location 1

6833 Brockton Ave.
Riverside, CA 92506
Phone (760) 946-9133

Other practice location 2

24613 Hudson St
Moreno Valley, CA 92551-6973
Phone (909) 327-8360

Other practice location 3

1030 Nevada St Ste 101
Redlands, CA 92374-2957
Phone (909) 966-5500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518001963 CA Practitioner - Nurse Practitioner 3072979947 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc Nurse Practitioner CurrentSince Apr 18, 2023 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Apr 18, 2023 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Thriveworks Clinical - California PC CurrentSince Mar 14, 2025 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

12555 Central Ave
Ste C
Chino, CA 91710
Phone (909) 613-0100

18652 Florida St
Ste 245
Huntington Beach, CA 92648
Phone (714) 698-3460

4902 Irvine Center Dr
Ste 203
Irvine, CA 92604
Phone (434) 300-3037

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1669170528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24613 HUDSON ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925516973",
            "telephone_number": "909-327-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18484 US HIGHWAY 18 STE 210",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072319",
            "telephone_number": "760-946-9133",
            "fax_number": "760-946-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6833 Brockton Ave.",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92506",
            "country_code": "US",
            "telephone_number": "760-946-9133",
            "fax_number": "760-946-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24613 Hudson St",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925516973",
            "country_code": "US",
            "telephone_number": "909-327-8360",
            "fax_number": "909-247-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Nevada St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742957",
            "country_code": "US",
            "telephone_number": "909-966-5500",
            "fax_number": "909-966-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESINA",
        "first_name": "MAYOWA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.