Abayomi Adetokunbo Taiwo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93217 Issued in CA

Practice address

40015 Sierra Hwy Ste B280
Palmdale, CA 93550-2143

Phone

(661) 726-2850

NPI assigned

Feb 16, 2020

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cyti Health PC

  dba Cyti Psychological

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD
• Midwest Post-Acute Care of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1326490871

  CA, Clinical

  Medicare reassignment NPD
• Mpac SMH of California PC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821660960

  CA, Clinical

  Medicare reassignment NPD
• New Vision Iop LLC

  dba New Vision Mental Health & Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tarzana, CA
  • NPI 1063391415
  Medicare reassignment

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1871126086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B280",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502143",
            "telephone_number": "661-726-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B280",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502143",
            "telephone_number": "661-726-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "ABAYOMI",
        "middle_name": "ADETOKUNBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-16",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW93217",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "167029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synergetics Healthcare Services
• Emerald T Tadiaman, RPT
• Alice Diane Taft, WHNP
• Bobbie Lee Tahar, NP
• Sogand Taheri, MD
• Shelvey Tajii, MSW, LCSW
• Raman Kumar Talwar, MD
• Tamara Vwich DDS Inc
• Joyce Lasam Tapuro, PHARMD
• Tarzana Treatment Centers, Inc.

• Clinical Social Worker in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.