Vincent E. Ajanwachuku, M.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VINCENT E. AJANWACHUKU, M.D., INC.

Practice address

16133 Kamana Rd
Apple Valley, CA 92307-1377

Phone

(760) 242-8491

Fax

(760) 242-8495

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Melanie Ajanwachuku

Title

Corporate Secretary

Phone

(760) 242-8491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1952590796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-242-8491",
            "fax_number": "760-242-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-242-8491",
            "fax_number": "760-242-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT E. AJANWACHUKU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "AJANWACHUKU",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "760-242-8491"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Faye Villa, M.S., M.A.
• Elizabeth Guadalupe Villa, AA
• Lori M Villa
• Nancy Zulema Villalobos
• Daniel Mark Villarosa, M.D
• Viruch Vachirakorntong MD Inc
• Vnacare
• Marianne Vo, MD
• Carole Voll, LMFT
• Jean Voska, RNMFT

• Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.