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

Melody Mijoy Adesuyan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154909364

Melody Mijoy Adesuyan is a Family Practice in Ventura, California. Qualified in 2021, 5 years ago. Practices with Clinicas Del Camino Real Inc, a 99-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

200 S Wells Rd Ste 100
Ventura, CA 93004-1378
Phone: (805) 647-6322
Fax: (805) 647-7164
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A187487 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154909364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2021
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Clinicas Del Camino Real Inc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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