Individual provider Active NPI

Adenike C. Ogunleye, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1740813062
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95014482 Issued in CA
Practice address
California Medical Facility
1600, California Drive
Fairfield, CA 95687
Phone
(707) 448-6841
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 95014482 CA Primary

Addresses

Primary practice location

California Medical Facility
1600, California Drive
Fairfield, CA 95687

Mailing address

651 I St
Sacramento, CA 95814-2400
Phone (916) 876-7195

Other practice location 1

651 I St
Sacramento, CA 95814-2400
Phone (916) 876-7195

Other practice location 2

5838 Edison Pl Ste 100
Carlsbad, CA 92008-5520
Phone (760) 300-3664 ext. 153

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computers

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
I20200629000299 CA Practitioner - Nurse Practitioner 4587086152 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1740813062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142400",
            "telephone_number": "916-876-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALIFORNIA MEDICAL FACILITY",
            "address_2": "1600, CALIFORNIA DRIVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-448-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 I St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958142400",
            "country_code": "US",
            "telephone_number": "916-876-7195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5838 Edison Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920085520",
            "country_code": "US",
            "telephone_number": "760-300-3664 x153",
            "fax_number": "510-590-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNLEYE",
        "first_name": "ADENIKE",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computers",
            "affiliation": "N",
            "endpointDescription": "patient care",
            "address_1": "5838 Edison Pl Ste 100",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920085520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.