Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace O Adeagbo

Individual provider Registered Nurse · NPI 1992986731

Grace O Adeagbo is a Nurse Practitioner in Torrance, California. Qualified in 2015, 11 years ago. Practices with Mehboob Makhani MD a Professional Corporation, a 9-clinician group. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

2204 Torrance Blvd Ste 102
Torrance, CA 90501-0502
Phone: (424) 488-2030
Fax: (424) 488-2202
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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 95005218 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 635727 (CA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 635727 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95005218 (CA)

Record details

NPI number1992986731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2007
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address9628 Adoree St, Downey, CA 90242-4900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mehboob Makhani Md A Professional Corporation — 9 clinicians
Accepts Medicare assignment Not indicated

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