Ogugua Geraldine Ajemba, M.D

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A135148 Issued in CA

Practice address

15248 Eleventh St
Victorville, CA 92395-3704

Phone

(914) 217-5756

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Ogugua Geraldine Onyekwelu Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• High Desert Pathology Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Victorville, CA
  • NPI 1407191356
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles Auditor Controller

  • General Acute Care Hospital
  • Sylmar, CA
  • NPI 1134159320
  NPD
• Reda M Tadros MD Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Victorville, CA
  • NPI 1184878167
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1245506989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17626 WREN DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873826",
            "telephone_number": "914-217-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 ELEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "914-217-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJEMBA",
        "first_name": "OGUGUA",
        "middle_name": "GERALDINE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A135148",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A135148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OGUGUA",
            "last_name": "ONYEKWELU",
            "middle_name": "GERALDINE",
            "prefix": "MISS",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahura Healthcare Corporation
• Jennifer Aiono
• Ajayi Marriage and Family Therapy, Inc
• Clem Ajayi, RPH
• Tanyanika Ajayi, MA
• Oluwatosin Adeyinka Ajijola
• Akhil Sharma MD
• Fariq Akhtar Aziz, MD
• Alameda Orthopedic Footcare Center
• Scott Randall Albert, PT, DPT, CSCS

• Anatomic Pathology & Clinical Pathology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.