MRS. ADEPEJU BOLANLE GEORGE P.A.
NPI 1316007685
Physician Assistant - Medical in Sacramento, CA

Q: What is Adepeju George's NPI number?

The NPI number for Adepeju George is 1316007685. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Q: What is Adepeju George's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Adepeju George was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since December 09, 2006PECOS Enrolled

8233 E STOCKTON BLVD STE D, SACRAMENTO, CA 95828(916) 368-3080(916) 405-6551 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Adepeju Bolanle George P.a. NPPES

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

MRS. ADEPEJU BOLANLE GEORGE P.A. (NPI 1316007685) is an individual medical provider in Sacramento, California, licensed in California (PA17876) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316007685

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. ADEPEJU BOLANLE GEORGECredential: P.A.

Location Address8233 E STOCKTON BLVD STE DSacramento, CA 95828-8203

Mailing Address9999 Cortino WayElk Grove, CA 95757-3052 · (916) 879-4157

Phone(916) 368-3080

Fax(916) 405-6551

Sole ProprietorNo

Enumeration DateDecember 9, 2006

Last NPPES UpdateNovember 16, 2015

✔ NPI 1316007685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA17876

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17876 (CA)

8233 E STOCKTON BLVD STE D, Sacramento, CA 95828

Open in Google Maps ↗

Other Identifiers 2

Medicare PINAX778ZCA

MedicaidPA17876CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adepeju Bolanle George P.a. 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.

Other Providers at the Same Location NPPES 13

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

VIBHA JHAWAR

Dentist