Active NPI
Andrea Baowang Ajayi, MD
- Emergency Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A72668
- Practice address
- 1800 Harrison St
7TH Floor
Oakland, CA 94612-3466 - Phone
- (510) 625-6262
- Fax
- (510) 625-6226
- NPI assigned
- Nov 4, 2005
- Last updated
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A72668 | CA | Primary |
Addresses
Primary practice location
1800 Harrison St
7TH Floor
Oakland, CA 94612-3466
Mailing address
5714 Eastview Dr
Stockton, CA 95212-2526
Phone (209) 747-5918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A726880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
Locations
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7410
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
520 W I St
Los Banos, CA 93635
Phone (209) 724-0316
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
2801 L St
Sacramento, CA 95816
Phone (916) 454-2222
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Interoperability endpoints
- aajayi308751@hisp.ehr.sutterhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Auburn Faith Hospital
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1164413472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5714 EASTVIEW DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952122526",
"telephone_number": "209-747-5918",
"fax_number": "209-931-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HARRISON ST",
"address_2": "7TH FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466",
"telephone_number": "510-625-6262",
"fax_number": "510-625-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAYI",
"first_name": "ANDREA",
"middle_name": "BAOWANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A72668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A726880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.