Healthcare Provider Details

I. General information

NPI: 1942062757
Provider Name (Legal Business Name): ADELINE SADIPE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADELINE VALEAN PA-C

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19772 MACARTHUR BLVD STE 220
IRVINE CA
92612-2405
US

IV. Provider business mailing address

19772 MACARTHUR BLVD STE 220
IRVINE CA
92612-2405
US

V. Phone/Fax

Practice location:
  • Phone: 949-304-6727
  • Fax: 949-312-5638
Mailing address:
  • Phone: 949-304-6727
  • Fax: 949-312-5638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberPA63944
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA63944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: