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OLASUNKANMI SAMUEL ADESEMOYE
NPI 1225761463
Nurse Anesthetist, Certified Registered in Travis Afb, CA

Active since July 06, 2022
60 MDG/ SGCJ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-3000 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Jul 6, 2022 (2 updates tracked since 2022).

About Olasunkanmi Samuel Adesemoye NPPES

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

OLASUNKANMI SAMUEL ADESEMOYE (NPI 1225761463) is an individual nurse anesthetist, certified registered in Travis Afb, California, licensed in California (95002699) and active in the NPI registry since July 2022. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1225761463
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameOLASUNKANMI SAMUEL ADESEMOYE
Location Address60 MDG/ SGCJ, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/ Sgcj, 101 Bodin CircleTravis Afb, CA 94535-1809
Phone(707) 423-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 6, 2022
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1225761463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002699
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95287646 (CA)
60 MDG/ SGCJ, Travis Afb, CA 94535
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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 (PECOS)

Olasunkanmi Samuel Adesemoye is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638653256
PECOS Enrollment IDI20260323000540

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 Olasunkanmi Adesemoye's NPI number?

The NPI number for Olasunkanmi Adesemoye is 1225761463. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Olasunkanmi Adesemoye located?

Olasunkanmi Adesemoye practices at 60 Mdg/ Sgcj 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-3000.

What is Olasunkanmi Adesemoye's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Olasunkanmi Adesemoye enrolled in Medicare?

Yes. Olasunkanmi Adesemoye is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olasunkanmi Adesemoye was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.