Individual provider Active NPI

Tinuke Olalere, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1750079356
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024777 Issued in CA
Practice address
4010 Truxel Rd Ste 170
Sacramento, CA 95834-3795
Phone
(916) 572-2466
Fax
(916) 251-0412
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95024777 CA Primary

Addresses

Primary practice location

4010 Truxel Rd Ste 170
Sacramento, CA 95834-3795

Mailing address

2701 Del Paso Rd Ste 130-128
Sacramento, CA 95835-2305
Phone (916) 272-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231117003172 CA Practitioner - Nurse Practitioner 9931557642 Reassigns benefits to 1 organization
I20250605003130 AZ Practitioner - Nurse Practitioner 9931557642 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seraphic Wellness Center, Incorporation Single Specialty Current Accepting new patients
Grow Healthcare Group PC Single Specialty CurrentSince Jul 16, 2024 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Apr 30, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

4010 Truxel Rd
Ste 170
Sacramento, CA 95834
Phone (813) 494-4476

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1750079356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEL PASO RD STE 130-128",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352305",
            "telephone_number": "916-272-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 TRUXEL RD STE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343795",
            "telephone_number": "916-572-2466",
            "fax_number": "916-251-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALERE",
        "first_name": "TINUKE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.