Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Omowunmi Ajibola, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1699157396

Dr. Omowunmi Ajibola, MD is an Interventional Radiology in Lakewood, California. Graduated from New York Medical College in 2015, 11 years ago. Practices with Golden State Imaging Associates Inc, a 243-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
New York Medical College
Licensed in
CA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3700 S St
Lakewood, CA 90712-1419
Phone: (562) 602-6852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A184618 (CA)

Record details

NPI number1699157396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2015 (11 years in practice)
Group practice Golden State Imaging Associates Inc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount