DR. BANTALE OLUREMI AYISIRE NPI 1538969282

NPI Information

  • NPI: 1538969282
  • Provider Name: DR. BANTALE OLUREMI AYISIRE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 20623 GREEN ASH LN
    WINNETKA, CA
    ZIP 91306
  • Phone: (909) 965-9961

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NPI Details

DR. Bantale Oluremi Ayisire is a psychiatric/mental health nurse practitioner in Winnetka, CA. DR. Bantale Oluremi Ayisire NPI is 1538969282. The provider is registered as an individual entity type.

The provider's business location address is:

20623 GREEN ASH LN
WINNETKA, CA
ZIP 91306-557
Phone: (909) 965-9961

The enumeration date for this NPI number is 3/13/2025 and was last updated on 3/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95033816CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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