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NPI Code Detail

MEDICARE: KAFAYAT ADEOTI ADEBIYI

MEDICARE: KAFAYAT ADEOTI ADEBIYI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95260277CA

General Provider Information

NPI Number : 1174223747
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAFAYAT ADEOTI ADEBIYI
Provider Business Mailing Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number : 916-371-1890
Fax Number :
Provider Business Practice Location Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number : 916-371-1890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 11/09/2025

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Directions to “ KAFAYAT ADEOTI ADEBIYI ” Practice Location

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