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ADEBUKOLA ELIZABETH OLUSANYA NURSE PRACTITIONER
NPI 1710441720
Nurse Practitioner - Family in Ontario, CA

Active since January 23, 2019PECOS Enrolled
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764(909) 458-1350(909) 579-8149 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adebukola Elizabeth Olusanya Nurse Practitioner NPPES

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

ADEBUKOLA ELIZABETH OLUSANYA NURSE PRACTITIONER (NPI 1710441720) is an individual family provider in Ontario, California, licensed in California (95017582) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1710441720
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADEBUKOLA ELIZABETH OLUSANYACredential: NURSE PRACTITIONER
Location Address2940 INLAND EMPIRE BLVDOntario, CA 91764-4898
Mailing Address17965 Crabapple CtSan Bernardino, CA 92407-0554 · (909) 244-4313
Phone(909) 458-1350
Fax(909) 579-8149
Sole ProprietorYes
Enumeration DateJanuary 23, 2019
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1710441720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95017582
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 749486 (CA)
2940 INLAND EMPIRE BLVD, Ontario, CA 91764
Open in Google Maps ↗

Secondary Practice Location 1

Location 117965 crabapple court San BernardinoSan Bernardino, CA 92407 · Phone (909) 244-4313

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adebukola Elizabeth Olusanya Nurse Practitioner 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Adebukola Olusanya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Zenmedicine
20 mi
General Practice
741 S ORANGE AVE
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1821567488 (626) 960-7117
Home Visiting Doctors & Nurses Company
39 mi
General Practice
201 N BRAND BLVD UNIT 200
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1366105546 (747) 272-7109
Signify Health Medical Associates Of California, PC
372 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800

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 91764 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 20

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

GOLEANIA CHERIC DARRETT
Counselor (Addiction (Substance Use Disorder))
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1371
MARTHA NUNEZ ACSW
Social Worker
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1517
NOAH NGUYEN
Peer Specialist
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1383
MISS VERONICA J CAMACHO
Social Worker (Clinical)
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1316
CHRISTINE NAJERA
Community Health Worker
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1350
KAMILAH J HAMILTON
Community Health Worker
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1350
GAL ANDRES MD
Psychiatry & Neurology (Psychiatry)
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1350
KARINA LIZETH MANCILLAS SANDOVAL
Rehabilitation Practitioner
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
San Bernardino County (909) 458-1350

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 Adebukola Olusanya's NPI number?

The NPI number for Adebukola Olusanya is 1710441720. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Adebukola Olusanya located?

Adebukola Olusanya practices at 2940 Inland Empire Blvd, Ontario, CA 91764. The listed phone number is (909) 458-1350.

What is Adebukola Olusanya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Adebukola Olusanya enrolled in Medicare?

Yes. Adebukola Olusanya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adebukola Olusanya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebukola Olusanya reassigns Medicare benefits to 3 organizations: Zenmedicine (West Covina, CA), Home Visiting Doctors & Nurses Company (Glendale, CA) and Signify Health Medical Associates Of California, PC (San Francisco, 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 Adebukola Olusanya'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 Adebukola Olusanya was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.