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DR. TAI ODUSAMI PHD
NPI 1720835788
Clinic/Center - Recovery Care in Menifee, CA

Active since May 06, 2024
25630 FELICIA AVE, MENIFEE, CA 92586(951) 772-6402 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, May 6, 2024 (2 updates tracked since 2024).

About Dr. Tai Odusami Phd NPPES

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

DR. TAI ODUSAMI PHD (NPI 1720835788) is an individual recovery care provider in Menifee, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1720835788
Entity TypeIndividualFemale
Primary Taxonomy261QR0800X
Provider Legal NameDR. TAI ODUSAMICredential: PHD
Location Address25630 FELICIA AVEMenifee, CA 92586-2376
Mailing Address25630 Felicia AveMenifee, CA 92586-2376 · (951) 772-6402
Phone(951) 772-6402
Sole ProprietorYes
Enumeration DateMay 6, 2024
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1720835788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
25630 FELICIA AVE, Menifee, CA 92586
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Other Providers at the Same Location NPPES

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

HIGHGROVE RECUPERATIVE CARE
Clinic/Center (Recovery Care)
25630 FELICIA AVE
MENIFEE, CA 92586
Riverside County (951) 639-7350

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 Tai Odusami's NPI number?

The NPI number for Tai Odusami is 1720835788. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Tai Odusami located?

Tai Odusami practices at 25630 Felicia Ave, Menifee, CA 92586. The listed phone number is (951) 772-6402.

What is Tai Odusami's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Tai Odusami was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.