JOHN ADENIJI (N.P) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003280892

JOHN ADENIJI (N.P) is a healthcare provider. based in San bernardino, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P. They hold a License No. 95003340 (CA). The NPI Number for JOHN ADENIJI (N.P) is 1003280892

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN ADENIJI (N.P)
NPI
1003280892
Phone
(909) 754-9051
Address
1574 W BASE LINE ST
Enumeration Date
17 November 2015
Last Update Date
8 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098876222
Graduation Year
2018 (8 years ago)
PAC ID
7517372386
Group Practice PAC ID
9436062312
Professional Enrollment ID
I20210209002299
Address ID
CA924044624SA2372XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JOHN ADENIJI (N.P)

  • 1574 W BASE LINE ST

    STE 107

    SAN BERNARDINO, CA 924111736

    Phone: (909) 754-9051

    Type: Mailing

  • 33026 BRANSON PL

    YUCAIPA, CA 923993483

    Phone: (909) 754-9051

    Type: Location

  • 1809 W REDLANDS BLVD

    REDLANDS, CA 923738054

    Phone: (909) 335-3026

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 457 Open Payments records for all available years, with a total value of $12,708.

Total Amount is formed as General ($12,708) + Research ($0) + Ownership ($0) = $12,708.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($3,823).

Total Amount

$12,708

General + Research + Ownership

Payments

457

Total payment records

General Amount

$12,708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210209002299INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes40693$0
99214Established patient office or other outpatient visit, 30-39 minutes7844$0
90792Psychiatric diagnostic evaluation with medical services2727$0
View full utilization report →

Insurance plans in this area (ZIP 92411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436062312View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What is JOHN ADENIJI (N.P)'s NPI number?
JOHN ADENIJI (N.P)'s NPI is 1003280892 — the number used across U.S. healthcare to identify this provider.
Would JOHN ADENIJI (N.P) appear as active to a payer?
You can treat JOHN ADENIJI (N.P) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOHN ADENIJI (N.P)?
At a glance, JOHN ADENIJI (N.P) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOHN ADENIJI (N.P) associated with San Bernardino?
Public fields place JOHN ADENIJI (N.P) around San Bernardino, California. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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