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ADE OSIBAMIRO MD INC
NPI 1073547220
General Practice in Carson, CA

Active since July 11, 2006
2637 E CARSON ST, CARSON, CA 90810(310) 847-1321 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2026, May 5, 2025, Jul 21, 2017 (3 updates tracked since 2017).

About Ade Osibamiro Md Inc NPPES

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

ADE OSIBAMIRO MD INC (NPI 1073547220), doing business as Santa Fe Medical Clinic, is a healthcare organization registered as a general practice in Carson, California and active in the NPI registry since July 2006. The organization lists Thomas Petit, Director, as its authorized official.

NPPES Registry Identity

NPI1073547220
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADE OSIBAMIRO MD INC
Location Address2637 E CARSON STCarson, CA 90810-1508
Mailing Address2637 E Carson StCarson, CA 90810-1508 · (310) 847-1321 · Fax (310) 847-1825
Phone(310) 847-1321
Organization SubpartNo
Authorized OfficialThomas PetitDirector · (310) 847-1321
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1073547220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A64972
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2637 E CARSON ST, Carson, CA 90810
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Other Names 1

Doing Business AsSanta Fe Medical Clinic

Other Identifiers 1

MedicaidC196078CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

BOKENG ISANGE NWENGELA
Nurse Practitioner (Family)
2637 E CARSON ST
CARSON, CA 90810
Los Angeles County (310) 933-6450
TIFFANY CROUCH D.C.
Chiropractor
2637 E CARSON ST
CARSON, CA 90810
Los Angeles County (310) 847-1321

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 Ade Osibamiro MD Inc's NPI number?

The NPI number for Ade Osibamiro MD Inc is 1073547220. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Santa Fe Medical Clinic.

Where is Ade Osibamiro MD Inc located?

Ade Osibamiro MD Inc is located at 2637 E Carson St, Carson, CA 90810. The listed phone number is (310) 847-1321.

What is Ade Osibamiro MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ade Osibamiro MD Inc was last updated on January 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.