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Oluwaseun Adelanke Adetayo, M.D.

NPI 1710190285ActiveIndividual· Plastic Surgery· Loma Linda, CA

Plastic Surgery (M.D.) in Loma Linda, California, licensed in WI, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - plastic and reconstructive surgery and practitioner - plastic and reconstructive surgery.

Overview

NPI1710190285
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedMay 8, 2007
Last updated in NPPESDec 20, 2023
Certified by providerDec 20, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X3829WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Plastic and Reconstructive Surgery (GA); Practitioner - Plastic and Reconstructive Surgery (WI)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Plastic Surgery providers in Loma Linda

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