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MR. ANDREW A ADESIDA
NPI 1528101201
Physician Assistant - Medical in Victorville, CA

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
13024 HESPERIA RD STE 101, VICTORVILLE, CA 92395(760) 951-4811(760) 951-4833 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Andrew A Adesida NPPES

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

MR. ANDREW A ADESIDA (NPI 1528101201) is an individual medical provider in Victorville, California, licensed in California (PA25768) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1528101201
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ANDREW A ADESIDA
Location Address13024 HESPERIA RD STE 101Victorville, CA 92395-8303
Mailing Address12018 Hallwood DrEl Monte, CA 91732-1518
Phone(760) 951-4811
Fax(760) 951-4833
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1528101201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA25768
13024 HESPERIA RD STE 101, Victorville, CA 92395
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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 and accepts Medicare assignment

Mr. Andrew A Adesida 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.

PECOS PAC ID4284652249
PECOS Enrollment IDI20051108000649
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services24 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
16 services13 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
11 services11 patients

Other Providers at the Same Location NPPES

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

INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION
Clinic/Center (Primary Care)
13024 HESPERIA RD STE 101
VICTORVILLE, CA 92395
San Bernardino County (760) 951-4811

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 Andrew Adesida's NPI number?

The NPI number for Andrew Adesida is 1528101201. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Andrew Adesida located?

Andrew Adesida practices at 13024 Hesperia Rd Ste 101, Victorville, CA 92395. The listed phone number is (760) 951-4811.

What is Andrew Adesida's specialty?

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

Is Andrew Adesida enrolled in Medicare?

Yes. Andrew Adesida 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.

When was this NPI record last updated?

The NPPES record for Andrew Adesida was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.