Adedeji Adefeso, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1710729223 Issued in CA

Practice address

1680 E 120TH St
Los Angeles, CA 90059-3026

Phone

(424) 388-8000

NPI assigned

Jun 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1710729223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N WILLOW AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212027",
            "telephone_number": "323-620-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "424-388-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEFESO",
        "first_name": "ADEDEJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "1710729223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luana Adduci, MA, AMFT
• Addus Healthcare, Inc.
• Drew Kevin Addy, DDS
• Taiye Adeagbo
• Oludara Adeeyo
• Adel E. Zaki, M.D. a Professional Corporation
• Adel Ghattas Family Practice Inc
• Adel Ghattas Medical Center Inc
• Adeoluwa Adelakun
• Daniel Oluwatomisin Adeleke

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.