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Bamidele A Adetunji

Nurse Practitioner, Family in Marysville, CA. Individual provider (NPI-1).

NPI number1326883240
StatusActive
Last updated in NPPESMar 2, 2026

Details

NPI
1326883240
Entity type
Individual (NPI-1)
Name
Bamidele A Adetunji
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2024
Certification date
Mar 2, 2026
Last updated
Mar 2, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95019581CAYes
363L00000X Nurse Practitioner882337NV
163WG0000X Registered Nurse, General PracticeRN41231RI
163WG0000X Registered Nurse, General PracticeRN70706NV
163WG0000X Registered Nurse, General PracticeRN307537AZ
163WG0000X Registered Nurse, General PracticeRN656881CA

Practice location

608 J St
Marysville, CA 95901-5413

Phone 530-749-4180 · Fax 530-740-5150

Mailing address

3399 S Eastern Ave
Las Vegas, NV 89169-3312

Phone 702-444-0438

Other practice locations

3399 S Eastern Ave
Las Vegas, NV 89169-3312

Phone 702-444-0438

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Marysville, CA

All 18 Family Nurse Practitioner providers in Marysville · All 869 providers in Marysville

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