1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Fareedat Oluyadi Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Fareedat Ajibade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
Same address
Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1780877613 (310) 668-5201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1230
ALLEN R. OLIVARES
Respiratory Therapist, Registered
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1484
JAMES ANTHONY BARRAMEDA GATAN LVN
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1070
JULIANA N AJOKU
Registered Nurse (Ambulatory Care)
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1000
JENNIFER ELOISA CRUZ
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-2930
ELIZABETH SALCIDO PEREZ
Licensed Vocational Nurse
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 758-9002
COUNTY OF LOS ANGELES
Obstetrics & Gynecology
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-2196
WENDY OLIVIA GLASS GIVENS MSW
Social Worker (Clinical)
1670 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (424) 338-1815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Fareedat Ajibade located?

Fareedat Ajibade practices at 1670 E 120th St, Los Angeles, CA 90059. The listed phone number is (424) 338-1000.

What is Fareedat Ajibade's specialty?

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

Is Fareedat Ajibade enrolled in Medicare?

Yes. Fareedat Ajibade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fareedat Ajibade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fareedat Ajibade reassigns Medicare benefits to County Of Los Angeles (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fareedat Ajibade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fareedat Ajibade was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.