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

Olusegun Adetuyi, MD, MPH

Individual provider Hospitalist Physician · NPI 1417275033

Olusegun Adetuyi, MD, MPH is a Family Practice in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23639 Hawthorne Blvd, Torrance, CA 90505-5930 — (559) 572-2583

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A122119 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence A122119 (CA)

Record details

NPI number1417275033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedMay 6, 2010
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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