Active NPI
Amir H Ajar MD Inc
- Otolaryngology Physician
- Torrance, CA
National Provider Identifier
1992197693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A114730
- Legal business name
- AMIR H AJAR MD INC
- Practice address
- 3655 Lomita Blvd
Suite #308
Torrance, CA 90505-3931 - Phone
- (310) 378-8787
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir H Ajar, M.D.
- Title
- President & Founder
- Phone
- (310) 991-1992
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A114730 | CA | Primary |
Addresses
Primary practice location
3655 Lomita Blvd
Suite #308
Torrance, CA 90505-3931
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB233001 | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150521002070 | CA | Part B Supplier - Clinic/Group Practice | 4981924578 |
Receives reassigned benefits from 1 practitioner Practice locations: Torrance, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444348800000",
"number": "1992197693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD",
"address_2": "SUITE #308",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053931",
"telephone_number": "310-378-8787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIR H AJAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-04",
"last_updated": "2015-10-09",
"status": "A",
"authorized_official_last_name": "AJAR",
"authorized_official_first_name": "AMIR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT & FOUNDER",
"authorized_official_telephone_number": "310-991-1992",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": "A114730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CB233001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.