Individual provider Active NPI

Ebenezer O. Ajilore, M.D.

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
National Provider Identifier
1891787537
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A30816 Issued in CA
Practice address
50 Alessandro PL
Suite 310
Pasadena, CA 91105-3149
Phone
(626) 796-9114
Fax
(626) 796-8523
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A30816 CA Primary

Addresses

Primary practice location

50 Alessandro PL
Suite 310
Pasadena, CA 91105-3149

Mailing address

50 Alessandro PL
Suite 310
Pasadena, CA 91105-3149
Phone (626) 796-9114

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000608 CA Practitioner - Obstetrics/Gynecology 9739104373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30816CAMDPsychologist
A30816CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Women'S Medical Group, Inc Obstetrics & Gynecology CurrentSince Aug 30, 1985 Accepting new patients

Locations

50 Alessandro Pl
Ste 310
Pasadena, CA 91105
Phone (626) 288-0008

50 Alessandro Pl
Pasadena, CA 91105
Phone (626) 577-5437

50 Alessandro Pl
Ste 430
Pasadena, CA 91105
Phone (626) 208-3988

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891787537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-796-9114",
            "fax_number": "626-796-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-796-9114",
            "fax_number": "626-796-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJILORE",
        "first_name": "EBENEZER",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A30816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.