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PAM AJANG
NPI 1578928271
Psychologist - Clinical in San Pedro, CA

Active since December 22, 2015Opted out of Medicare · through Oct 18, 2026
803 S AVERILL AVE, SAN PEDRO, CA 90732(310) 378-5020 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pam Ajang NPPES

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

PAM AJANG (NPI 1578928271) is an individual clinical provider in San Pedro, California, licensed in California (PSY16265) and active in the NPI registry since December 2015. She has opted out of Medicare through October 18, 2026.

NPPES Registry Identity

NPI1578928271
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePAM AJANG
Location Address803 S AVERILL AVESan Pedro, CA 90732-3815
Mailing Address803 S Averill AveSan Pedro, CA 90732-3815 · (310) 378-5020
Phone(310) 378-5020
Sole ProprietorYes
Enumeration DateDecember 22, 2015
✔ NPI 1578928271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY16265
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
803 S AVERILL AVE, San Pedro, CA 90732
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Pam Ajang has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 18, 2020 through October 18, 2026.

Opt-Out Effective DateOctober 18, 2020
Opt-Out In Effect ThroughOctober 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. JANET AURORA VIVERO PH.D.
Psychologist (Clinical)
803 S AVERILL AVE
SAN PEDRO, CA 90732
Los Angeles County (562) 260-5029

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 Pam Ajang's NPI number?

The NPI number for Pam Ajang is 1578928271. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Pam Ajang located?

Pam Ajang practices at 803 S Averill Ave, San Pedro, CA 90732. The listed phone number is (310) 378-5020.

What is Pam Ajang's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pam Ajang enrolled in Medicare?

No. Pam Ajang has opted out of Medicare through October 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Pam Ajang was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.