ADIJAT OMOBOLANLE LIGALI
NPI 1124782115
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Adijat Omobolanle Ligali NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADIJAT OMOBOLANLE LIGALI (NPI 1124782115) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95025305) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adijat Omobolanle Ligali 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.
Medicare Billing Reassignments
3Medicare enrollment records show Adijat Ligali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Adijat Ligali's NPI number?
The NPI number for Adijat Ligali is 1124782115. It was assigned to this individual provider in the NPPES registry on October 26, 2021.
Where is Adijat Ligali located?
Adijat Ligali practices at 1111 6th Ave Ste 204, San Diego, CA 92101. The listed phone number is (415) 671-2165.
What is Adijat Ligali's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adijat Ligali enrolled in Medicare?
Yes. Adijat Ligali 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.
Which organizations bill Medicare for Adijat Ligali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adijat Ligali reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Adventist Health Clearlake Hospital Inc. (Clearlake, CA) and Ukiah Adventist Hospital (Ukiah, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adijat Ligali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adijat Ligali was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Adijat Omobolanle Ligali · NPI 1124782115
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since October 26, 2021.
## Identity
- **NPI:** 1124782115 (Entity type: Individual)
- **Enumerated:** October 26, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95025305 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 6TH AVE STE 204, San Diego, CA 92101-5214
- **Phone:** (415) 671-2165
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Adventist Health Clearlake Hospital Inc. (NPI 1124018031, Clearlake, CA); Ukiah Adventist Hospital (NPI 1235120676, Ukiah, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124782115) · Data from the CMS NPPES public registry.