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GRACE O ADEAGBO
NPI 1992986731
Nurse Practitioner - Psychiatric/Mental Health in Torrance, CA

Active since November 20, 2007PECOS Enrolled
2204 TORRANCE BLVD STE 102, TORRANCE, CA 90501(424) 488-2030(424) 488-2202 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Grace O Adeagbo NPPES

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

GRACE O ADEAGBO (NPI 1992986731) is an individual psychiatric/mental health provider in Torrance, California, licensed in California (95005218) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992986731
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE O ADEAGBO
Location Address2204 TORRANCE BLVD STE 102Torrance, CA 90501-0502
Mailing Address9628 Adoree StDowney, CA 90242-4900 · (562) 803-7800
Phone(424) 488-2030
Fax(424) 488-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 20, 2007
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1992986731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95005218
Also ListedRegistered NurseTaxonomy 163W00000X · License 635727 (CA)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 635727 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95005218 (CA)
2204 TORRANCE BLVD STE 102, Torrance, CA 90501
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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 (PECOS)

Grace O Adeagbo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668677402
PECOS Enrollment IDI20170112000909
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90501 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Grace Adeagbo's NPI number?

The NPI number for Grace Adeagbo is 1992986731. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Grace Adeagbo located?

Grace Adeagbo practices at 2204 Torrance Blvd Ste 102, Torrance, CA 90501. The listed phone number is (424) 488-2030.

What is Grace Adeagbo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Grace Adeagbo enrolled in Medicare?

Yes. Grace Adeagbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Adeagbo was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.