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ANTHONY ADEOSUN DO
NPI 1063971372
Military Health Care Provider in San Diego, CA

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment
38400 BOB WILSON DR, SAN DIEGO, CA 92134(601) 810-6388 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Apr 2, 2019, Mar 16, 2019 (3 updates tracked since 2019).

About Anthony Adeosun Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY ADEOSUN DO (NPI 1063971372) is an individual military health care provider provider in San Diego, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1063971372
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameANTHONY ADEOSUNCredential: DO
Location Address38400 BOB WILSON DRSan Diego, CA 92134-5000
Mailing Address38400 Bob Wilson DrSan Diego, CA 92134-5000
Phone(601) 810-6388
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 16, 2019
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1063971372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
38400 BOB WILSON DR, San Diego, CA 92134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Adeosun Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315300902
PECOS Enrollment IDI20250428001843
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL SHERMAN
Military Health Care Provider
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (414) 520-6134
EUNICE WU MD
Military Health Care Provider
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (571) 228-9691
DR. MAGGIE DILLIONE DO
Internal Medicine
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 881-9169
JOSIAH LOW MD
Student in an Organized Health Care Education/Training Program
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 566-5659
KIMBERLY HURTLEY APN
Nurse Practitioner (Family)
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7576
DR. MELISSA NICOLE JORDAN MD
General Practice
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (480) 313-2158
JOSEPH LEE M.D.
General Practice
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (714) 603-9295
COLLEEN FRANCONI MD
Military Health Care Provider
38400 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (215) 510-8619

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Adeosun's NPI number?

The NPI number for Anthony Adeosun is 1063971372. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Anthony Adeosun located?

Anthony Adeosun practices at 38400 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (601) 810-6388.

What is Anthony Adeosun's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Anthony Adeosun enrolled in Medicare?

Yes. Anthony Adeosun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anthony Adeosun was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.