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

Mabel Asamoah Anti Asiedu

Individual provider Adult Health Nurse Practitioner · NPI 1104215631

Mabel Asamoah Anti Asiedu is a Nurse Practitioner in Valley Center, California. Qualified in 2014, 12 years ago. Practices with Del Sur Healthcare, a 61-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
12
Licensed in
CA, MO
In the registry since
2015
Specialties on file
2

Practice location Address checks out

13305 Cultivate Ct
Valley Center, CA 92082-6983
Phone: (877) 749-7428
Fax: (512) 628-3314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95016533 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2015000861 (MO)

Record details

NPI number1104215631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2015
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Del Sur Healthcare — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount