Idris Adelaja Mustapha, - Registered Nurse in Fresno, CA

Idris Adelaja Mustapha, is a Registered Nurse - Psychiatric/mental Health based in Fresno, California. Idris Adelaja Mustapha is licensed to practice in California (license number 95322823) and his current practice location is 4411 E Kings Canyon Rd, Fresno, California. He can be reached at his office (for appointments etc.) via phone at (559) 453-1008.

NPI number for Idris Adelaja Mustapha is 1881164515 and his current mailing address is 40 E Minarets Ave, Pinedale, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881164515.

Contact Information

Idris Adelaja Mustapha,
4411 E Kings Canyon Rd,
Fresno, CA 93702-3604
(559) 453-1008
Not Available

Map and Direction




Provider's Profile

Full NameIdris Adelaja Mustapha
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location4411 E Kings Canyon Rd, Fresno, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881164515
  • Provider Enumeration Date: 11/26/2018
  • Last Update Date: 10/30/2024

Medical Identifiers

Medical identifiers for Idris Adelaja Mustapha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881164515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 697594 (California)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 95322823 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Idris Adelaja Mustapha is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Idris Adelaja Mustapha,
40 E Minarets Ave,
Pinedale, CA 93650-1239

Ph: () -
Idris Adelaja Mustapha,
4411 E Kings Canyon Rd,
Fresno, CA 93702-3604

Ph: (559) 453-1008

Reviews and Comments


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