Dr. Bantale Oluremi Ayisire
Dr. Bantale Oluremi Ayisire is a Nurse Practitioner in Winnetka, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
20623 Green Ash LnWinnetka, CA 91306-1557
Phone: (253) 300-1864
Fax: (818) 303-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95033816 (CA) |
|---|
Record details
| NPI number | 1538969282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2025 |
| Last updated in NPPES | March 25, 2026 |
| Certification date | March 25, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Winnetka
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Rhea Anonuevo Arias
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Regina Gimena, PMHNP
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Diana R Pena, PMHNP
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