Mr Babajide Adetokunbo Fajemisin, PA-C | |
15791 Bear Valley Rd, Hesperia, CA 92345-1746 | |
(760) 949-1231 | |
(877) 738-3841 |
Full Name | Mr Babajide Adetokunbo Fajemisin |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 15791 Bear Valley Rd, Hesperia, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700119567 | NPI | - | NPPES |
EFF:10/29/12 | Medicaid | CA | |
EFF:10/21/13-VICTORV | Medicaid | CA | |
P01288530/DU5182 | Other | CA | RAILROAD MEDICARE-COLTON/VICTORVILLE |
P01282519/DU4034 | Other | CA | RAILROAD MEDICARE-ADELANTO |
EFF.10/21/13-COLTON | Medicaid | CA | |
EFF: 1/24/2013 | Medicaid | CA | |
EFF: 1/18/13 | Medicaid | CA | |
EFF: 1/18/2013 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA20295 (California) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Babajide Adetokunbo Fajemisin, PA-C 625 Fair Oaks Ave Ste 270, South Pasadena, CA 91030-5801 Ph: (626) 346-2455 | Mr Babajide Adetokunbo Fajemisin, PA-C 15791 Bear Valley Rd, Hesperia, CA 92345-1746 Ph: (760) 949-1231 |
Kevin Wing Yim, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St., Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Mr. Jose Angel Ortiz, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 11919 Hesperia Rd, Hesperia, CA 92345 Phone: 760-948-1454 Fax: 760-948-6100 | |
Kesha Katina Hudson, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11919 Hesperia Rd, Hesperia, CA 92345 Phone: 760-948-1454 Fax: 706-322-8332 | |
Quyen T Despas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14575 Main St, Hesperia, CA 92345 Phone: 760-947-0727 Fax: 760-947-6219 | |
Kathryn E Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17095 Main St, Hesperia, CA 92345 Phone: 760-956-4133 Fax: 760-956-9297 | |
Trent Tyson Davis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15791 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-949-1231 Fax: 760-949-1236 | |
Toni Fernandez, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15888 Main St Ste 112b, Hesperia, CA 92345 Phone: 760-948-2242 |