MS. FAREEDAT OLWATOSIN AJIBADE M.D.
NPI 1245692730
Family Medicine in Los Angeles, CA

Q: What is Fareedat Ajibade's NPI number?

The NPI number for Fareedat Ajibade is 1245692730. It was assigned to this individual provider in the NPPES registry on March 23, 2016. The provider is also known as Fareedat Oluyadi MD.

Q: What is Fareedat Ajibade's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fareedat Ajibade was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2016PECOS Enrolled

1670 E 120TH ST, LOS ANGELES, CA 90059(424) 338-1000 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2025, Jan 16, 2020, Mar 23, 2016 (3 updates tracked since 2016).

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About Ms. Fareedat Olwatosin Ajibade M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. FAREEDAT OLWATOSIN AJIBADE M.D. (NPI 1245692730) is an individual family medicine provider in Los Angeles, California, licensed in Illinois (036.149556) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2016).

NPPES Registry Identity

NPI1245692730

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. FAREEDAT OLWATOSIN AJIBADECredential: M.D.

Location Address1670 E 120TH STLos Angeles, CA 90059-3026

Mailing Address1670 E 120th StLos Angeles, CA 90059-3026 · (424) 338-1000

Phone(424) 338-1000

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2016

Enumeration DateMarch 23, 2016

Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1245692730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.149556

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1670 E 120TH ST, Los Angeles, CA 90059

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Other Names 1

Former Name (1)Fareedat Oluyadi Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Fareedat Olwatosin Ajibade M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355677881

PECOS Enrollment IDI20251003000486

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA ARACELI BERUMEN NP

Nurse Practitioner