Reginald Chinaedu Ajakwe (NPI# 1467485730, PAC ID# 5799781209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1467485730 |
| PAC ID by PECOS | 5799781209 |
| Professional Enrollment ID | I20061005000532 |
| Full Name | Reginald Chinaedu Ajakwe |
| Organization Legal Name | R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION |
| Address |
1000 N Central Ave Suite 210 Glendale CA 91202-3644 |
| Phone Number | 8183252088 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3173744604 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050235 | PROVIDENCE SAINT JOSEPH MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 201 S Buena Vista St, Suite 238, Burbank, CA 91505-4576 | 8183252088 | R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION |
| 2211 W Magnolia Blvd, Suite 205b, Burbank, CA 91506-1753 | 8183252088 | BURBANK ANESTHESIA ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION |
| 1000 N Central Ave, Suite 210, Glendale, CA 91202-3644 | 8183252088 | R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond G Tatevossian | Anesthesiology | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 1000 N Central Ave, Suite 210, Glendale, CA 91202-3644 |
| Ifeoluwa J Aderinto | Nurse Practitioner | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 1000 N Central Ave, Suite 210, Glendale, CA 91202-3644 |
| Taher Mir Saifullah | Pain Management | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 201 S Buena Vista St, Suite 238, Burbank, CA 91505-4576 |
| Cassandra Montoya | Physician Assistant | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 201 S Buena Vista St, Suite 238, Burbank, CA 91505-4576 |
| Street Address |
1000 N CENTRAL AVE SUITE 210 |
| City | GLENDALE |
| State | CA |
| Zip | 91202-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond G Tatevossian | Anesthesiology | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 1000 N Central Ave, Suite 210, Glendale, CA 91202-3644 |
| Ifeoluwa J Aderinto | Nurse Practitioner | R Ajakwe Md and R Tatevossian Md A Professional Medical Corporation | 1000 N Central Ave, Suite 210, Glendale, CA 91202-3644 |
| Alisha S Joshi | Physical Therapy | Annette Tamraz Physical Therapy Inc | 1000 N Central Ave, Suite 110, Glendale, CA 91202-2957 |
| Annette Tamraz | Physical Therapy | Annette Tamraz Physical Therapy Inc | 1000 N Central Ave, Suite 110, Glendale, CA 91202-2957 |
| Sarah Yeatman | Physical Therapy | Annette Tamraz Physical Therapy Inc | 1000 N Central Ave, Suite 110, Glendale, CA 91202-2957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice J Williams | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Elbert Kou | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Nilesh Patel | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Elena H Cho | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Christina Menor | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Karina Chan | Anesthesiology | La Quality Care Anesthesia Consultants Inc | 5700 San Fernando Rd, Glendale, CA 91202-2104 |
| Marine Demirjian | Allergy/immunology | Allergy and Asthma Treatment Center PC | 1131 N Pacific Ave, Glendale, CA 91202-2358 |
| Lilit Mirzoyan | Oral Surgery | Mirzoyan Dental Corporation | 1127 N Pacific Ave, Glendale, CA 91202-2358 |
| Vivian Wang | Allergy/immunology | Allergy and Asthma Treatment Center PC | 1131 N Pacific Ave, Glendale, CA 91202-2358 |
| Eric Hyon Cho | Oral Surgery | Mirzoyan Dental Corporation | 1127 N Pacific Ave, Glendale, CA 91202-2358 |
| Find all physicians in zip 91202 | |||
| City | GLENDALE |
| Zip Code | 91202 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GLENDALE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Reginald Chinaedu Ajakwe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.