Active NPI
Michelle Angela Fajardo, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 20A9558
- Practice address
- 24451 Health Center Dr
Laguna Hills, CA 92653-3689 - Phone
- (949) 452-3053
- Fax
- (949) 452-3066
- NPI assigned
- May 4, 2007
- Last updated
- Jan 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20A9558 | CA | Primary |
Addresses
Primary practice location
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Mailing address
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244
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
- Pathology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24451 Health Ctr Dr
Laguna Hills, CA 92653-3689
Phone (310) 225-3244
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.39 of 100
- Quality
- 88.62
- Improvement activities
- 40
- Cost
- 77.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9558 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Pathologists Medical Group, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Soc Pathology Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221
654 Camino de los Mares
San Clemente, CA 92673
Phone (949) 489-4507
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
19951 Mariner Ave
Ste 155
Torrance, CA 90503
Phone (310) 225-3221
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1730119553
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1598081424
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1639381387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2374 E PACIFICA PL",
"city": "RANCHO DOMINGUEZ",
"state": "CA",
"postal_code": "902206214",
"telephone_number": "310-225-3244",
"fax_number": "310-698-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533689",
"telephone_number": "949-452-3053",
"fax_number": "949-452-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "MICHELLE",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "20A9558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.