Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619169406 Deactivated / Inactive NPI Male Practitioner

Dr. Emmanuel A Ayodele , MD

General Practice • Los Angeles, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Emmanuel Ayodele has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2007
NPI Deactivation Date July 03, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Ayodele, MD was a registered General Practice practicing in Los Angeles, CA. Throughout an active medical career spanning 17 years, Dr. Ayodele provided care at the practice location at 11126 S MAIN ST until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

11126 S Main St

Los Angeles, CA 90061

Telephone 3237798398
Fax 3237798493
Associated Practice Facility / Clinic
🏢 Beth Medical Clinic Facility NPI 1104984137

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Los Angeles, CA (2300 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A46478

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active February 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2013

Registered at 11126 S MAIN ST, LOS ANGELES, CA 90061 (Tel: 3237798398)

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Updated Business Mailing Address February 04, 2013

Registered at 11126 S MAIN ST, LOS ANGELES, CA 90061 (Tel: 3237798398)

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Provider Name / Credentials Updated February 04, 2013

Recorded as EMMANUEL AYODELE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2013

General Practice (License #A46478 in CA)

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Initial NPI Registration & Enumeration August 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619169406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2007
Last Update: February 04, 2013
Deactivation Date: July 03, 2024

Mailing Address

11126 S Main St

Los Angeles, CA 90061

Phone: 3237798398

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.