| Michael Olusegun Adeduro, PMHNP-BC | |
|
4653 Vahan Ct, Lancaster, CA 93536-6880 | |
| (661) 916-5608 | |
| Not Available |
| Full Name | Michael Olusegun Adeduro |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4653 Vahan Ct, Lancaster, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386352789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023296 (California) | Primary |
| Entity Name | County Of Kern |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568658821 PECOS PAC ID: 7810887205 Enrollment ID: O20040324000553 |
| Entity Name | Tarzana Treatment Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346842093 PECOS PAC ID: 5991897845 Enrollment ID: O20070822001488 |
| Entity Name | Mellow Medical Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Michris Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295594976 PECOS PAC ID: 4486192762 Enrollment ID: O20240817000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Olusegun Adeduro, PMHNP-BC 4653 Vahan Ct, Lancaster, CA 93536-6880 Ph: (661) 916-5608 | Michael Olusegun Adeduro, PMHNP-BC 4653 Vahan Ct, Lancaster, CA 93536-6880 Ph: (661) 916-5608 |
Christina Garst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 East Avenue I, Lancaster, CA 93535 Phone: 661-522-6770 | |
Shalonte Allen-carrasquillo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 | |
Jill Diane Jepson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534 Phone: 661-902-5600 | |
Gigi Hammang, MSN, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-729-8655 | |
Rosanna Edith Salice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Min H Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 | |
Manisha Ati, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W Ste 101, Lancaster, CA 93534 Phone: 661-902-5600 Fax: 661-951-0686 |