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ADIJAT OMOBOLANLE LIGALI
NPI 1124782115
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since October 26, 2021PECOS Enrolled
1111 6TH AVE STE 204, SAN DIEGO, CA 92101(415) 671-2165 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Jun 17, 2025, Jan 6, 2025 and 2 more (5 updates tracked since 2023).

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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124782115
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADIJAT OMOBOLANLE LIGALI
Location Address1111 6TH AVE STE 204San Diego, CA 92101-5214
Mailing Address2350 Buhne StEureka, CA 95501-3238 · (707) 443-4593
Phone(415) 671-2165
Sole ProprietorYes
Enumeration DateOctober 26, 2021
Last NPPES UpdateNovember 12, 20255 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1124782115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95025305
Also ListedRegistered NurseTaxonomy 163W00000X · License 95186824 (CA)
1111 6TH AVE STE 204, San Diego, CA 92101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12350 Buhne StEureka, CA 95501-3238 · Phone (707) 443-4593 · Fax (707) 269-7116
Location 225000 Avenue Stanford Ste 167Valencia, CA 91355-4596 · Phone (818) 600-2034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adijat Omobolanle Ligali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

What is Adijat Ligali's NPI number?

The NPI number assigned to this healthcare provider is 1124782115, enumerated as an "individual" on October 26, 2021.

Where is the provider located?

The provider is located at 1111 6TH AVE STE 204 SAN DIEGO, CA 92101 and the phone number is (415) 671-2165.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

What insurance does Adijat Ligali accept?

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.