MR. BABAJIDE ADETOKUNBO FAJEMISIN PA-C
NPI 1700119567
Physician Assistant in Hesperia, CA

Q: What is Babajide Fajemisin's NPI number?

The NPI number for Babajide Fajemisin is 1700119567. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Q: What is Babajide Fajemisin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 11, 2009PECOS Enrolled

15791 BEAR VALLEY RD, HESPERIA, CA 92345(760) 949-1231(877) 738-3841 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Babajide Adetokunbo Fajemisin Pa-c NPPES

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

MR. BABAJIDE ADETOKUNBO FAJEMISIN PA-C (NPI 1700119567) is an individual physician assistant in Hesperia, California, licensed in California (PA20295) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700119567

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BABAJIDE ADETOKUNBO FAJEMISINCredential: PA-C

Location Address15791 BEAR VALLEY RDHesperia, CA 92345-1746

Mailing Address625 Fair Oaks Ave Ste 270South Pasadena, CA 91030-5801 · (626) 346-2455 · Fax (626) 639-3005

Phone(760) 949-1231

Fax(877) 738-3841

Sole ProprietorYes

Enumeration DateSeptember 11, 2009

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedFebruary 12, 2020

✔ NPI 1700119567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA20295

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

15791 BEAR VALLEY RD, Hesperia, CA 92345

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Other Identifiers 8

MedicaidEFF:10/29/12CA

MedicaidEFF:10/21/13-VICTORVCA

OtherP01288530/DU5182CA · Railroad Medicare-colton/victorville

OtherP01282519/DU4034CA · Railroad Medicare-adelanto

MedicaidEFF.10/21/13-COLTONCA

MedicaidEFF: 1/24/2013CA

MedicaidEFF: 1/18/13CA

MedicaidEFF: 1/18/2013CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Babajide Adetokunbo Fajemisin Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92345 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 9

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

TIMOTHY CASPER

Nurse Practitioner (Family)