Tai Odusami, PHD

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Practice address

25630 Felicia Ave
Menifee, CA 92586-2376

Phone

(951) 772-6402

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

Yes

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 Philosophy

Practice roles

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.

• Highgrove Recuperative Care

  dba Highgrove Recuperative care center

  • Recovery Care Clinic/Center
  • Menifee, CA
  • NPI 1417705674
  NPD Authorized official
• Garden of Friends Foundation

  • Internal Medicine Physician
  • Sun City, CA
  • NPI 1578367835
  NPD
• STR Corporation

  dba Californis TMS & wellness professional Nursing Services

  • Psychiatry Physician
  • Menifee, CA
  • NPI 1346118759

  Health & Wellness Coach

  NPD

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1720835788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25630 FELICIA AVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862376",
            "telephone_number": "951-772-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25630 FELICIA AVE",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862376",
            "telephone_number": "951-772-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUSAMI",
        "first_name": "TAI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Nunez Velasco, AMFT, APCC
• Nurse Practitioners of California
• Katharine M O'Brien, DO
• Nicole O'Neil, FNP
• Keempee Obias
• Christie Ogbanna
• James Hiroshi Ogisaka, D.D.S.
• Ohana Kids Care
• Ana Ojeda
• Emmanuel Magno Olivares

• Recovery Care Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.