Individual provider Active NPI

Rhyl Ann Fenequito Faeldonea-Seruelo, M.D.

  • Family Medicine Physician
  • Escondido, CA
National Provider Identifier
1013177906
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104676 Issued in CA
Practice address
225 E 2ND Ave
Escondido, CA 92025-4249
Phone
(760) 291-6700
Fax
(760) 737-7324
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A104676 CA Primary

Addresses

Primary practice location

225 E 2ND Ave
Escondido, CA 92025-4249

Mailing address

225 East Second Avenue
Escondido, CA 92025-4249
Phone (760) 291-6700

Other names 1

  • Rhyl Ann Faeldonea Seruelo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090610000141 CA Practitioner - Family Practice 9032269246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Escondido, CA 92025-4212
Phone (866) 228-2236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104676CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graybill Medical Group Inc Family Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

225 E 2nd Ave
Ste 101
Escondido, CA 92025
Phone (858) 453-7700

332 S Juniper St
Ste 100
Escondido, CA 92025
Phone (760) 291-6650

225 E 2nd Ave
Escondido, CA 92025

585 E Elder St
Fallbrook, CA 92028
Phone (760) 728-2777

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1013177906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAELDONEA-SERUELO",
        "first_name": "RHYL ANN",
        "middle_name": "FENEQUITO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHYL ANN",
            "last_name": "SERUELO",
            "middle_name": "FAELDONEA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.