DR. YEKEEN JR. ADAGBADA – Family Nurse Practitioner, NPI 1003472309

DR. YEKEEN JR. ADAGBADA is a healthcare provider. based in North hollywood, California. specializing in NURSE PRACTITIONER. They hold a License No. 95011775 (CA). The NPI Number for DR. YEKEEN JR. ADAGBADA is 1003472309

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. YEKEEN JR. ADAGBADA
NPI
1003472309
Phone
(773) 412-8828
Address
11049 MAGNOLIA BLVD APT 302
Enumeration Date
13 May 2019
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3239537170
Graduation Year
2018 (8 years ago)
PAC ID
3375872252
Group Practice PAC ID
3072619618
Professional Enrollment ID
I20210111002605
Address ID
CA900291830LO4618XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DR. YEKEEN JR. ADAGBADA

  • 11049 MAGNOLIA BLVD APT 302

    NORTH HOLLYWOOD, CA 916015654

    Phone: (773) 412-8828

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Novo Nordisk Inc ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$39
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: 2021-01-11

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
I20210111002605INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91601)

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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: 3072619618View full group profile
NameSpecialtyState
Clinical Social WorkerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
P O D I A T R YFL
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA

Reviews

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Frequently asked questions

What is the registry number for DR. YEKEEN JR. ADAGBADA?
The registry entry for DR. YEKEEN JR. ADAGBADA shows NPI 1003472309.
Does the public listing show DR. YEKEEN JR. ADAGBADA as active?
DR. YEKEEN JR. ADAGBADA's NPI record reflects an active status in NPPES.
What services align with DR. YEKEEN JR. ADAGBADA's listing?
DR. YEKEEN JR. ADAGBADA's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to DR. YEKEEN JR. ADAGBADA?
The directory associates DR. YEKEEN JR. ADAGBADA with North Hollywood, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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