Oluwole Fajolu, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

A39634 Issued in CA

Practice address

5601 De Soto Ave
Woodland Hills, CA 91367-6701

Phone

(818) 719-2000

NPI assigned

Dec 8, 2006

Last updated

Sep 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Thoracic SurgeryAlso: Cardiac Surgery, General Practice, Vascular Surgery

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Masters Medical Group IncGroup PAC ID 8224307053, 12 clinicians

Skilled Facility Health Care Solutions IncGroup PAC ID 9032299144, 60 clinicians

Anvar Medical GroupGroup PAC ID 4284875451, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions

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.

• Anvar Medical Group

  • Urgent Care Clinic/Center
  • Northridge, CA
  • NPI 1831539485
  Medicare reassignment Care Compare group NPD
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423
  Medicare reassignment Care Compare group NPD
• Wound Masters Medical Group Inc

  dba Wound Masters

  • Surgery Physician
  • Ontario, CA
  • NPI 1376063461
  Medicare reassignment Care Compare group NPD
• Skilled Biologics, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1376386763
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Wound Masters Mobile Physicians, PC

  dba Wound Masters Arizona

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1063094183
  Medicare reassignment NPD
• Skilled Physicians Group

  • General Practice Physician
  • Glendale, CA
  • NPI 1902444623
  Medicare reassignment
• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1073763462
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Los Angeles, CA
  • NPI 1043242563
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1376602953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676701",
            "telephone_number": "818-719-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DE SOTO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676701",
            "telephone_number": "818-719-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJOLU",
        "first_name": "OLUWOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A39634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jazmin Fahimi
• Jacob Fahimipour
• Maria Fain-Karpus, M.D.
• Faithful Angels Hospice Care, Inc
• Carlo Fajardo
• Valery Valentina Falcon
• Mark A. Falkenbach, MD
• Nicole Fallah Fallah, PHD
• Fallbrook Assisted Living
• Fallbrook Elderly Care LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.

Verify at the official NPI Registry.