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

Mark Joseph Ajalat

Individual provider Vascular Surgery Physician · NPI 1487158168

Mark Joseph Ajalat is a Vascular Surgery in Los Angeles, California. Graduated from University of California, Irvine, California College of Medicine in 2018, 8 years ago. Practices with The Regents of the University of California, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2018

Practice location Address checks out

200 UCLA Medical Plz Ste 526
Los Angeles, CA 90095-8358
Phone: (310) 206-6294
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A164475 (CA)

Record details

NPI number1487158168
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2018
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice The Regents Of The University Of California — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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