IndividualActive
Adebukola Olusanya, NURSE PRACTITIONER
NPI 1710441720 · Family Nurse Practitioner · Ontario, CA
Provider details
- NPI number
- 1710441720
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95017582 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone: (909) 458-1350
Fax: (909) 579-8149
Street-level locationGet directions
Mailing address
17965 Crabapple Ct
San Bernardino, CA 92407-0554
Additional practice locations (1)
- 17965 Crabapple Court San BernardinoSan Bernardino, CA 92407Phone: (909) 244-4313
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.