ADIN SAMUEL VAEWSORN RN, PMHNP
NPI 1932719192
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA
About Adin Samuel Vaewsorn Rn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADIN SAMUEL VAEWSORN RN, PMHNP (NPI 1932719192) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (95018370) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adin Samuel Vaewsorn Rn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Adin Vaewsorn's NPI number?
The NPI number for Adin Vaewsorn is 1932719192. It was assigned to this individual provider in the NPPES registry on August 3, 2020.
Where is Adin Vaewsorn located?
Adin Vaewsorn practices at 1501 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 635-5200.
What is Adin Vaewsorn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Adin Vaewsorn enrolled in Medicare?
Yes. Adin Vaewsorn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Adin Vaewsorn was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Adin Samuel Vaewsorn, RN, PMHNP · NPI 1932719192
Psychiatric/Mental Health physician in Oakland, California. Individual provider, active in the CMS NPPES registry since August 3, 2020.
## Identity
- **NPI:** 1932719192 (Entity type: Individual)
- **Enumerated:** August 3, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95018370 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 FRUITVALE AVE, Oakland, CA 94601-2322
- **Phone:** (510) 635-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932719192) · Data from the CMS NPPES public registry.