Neil D. Fagen,M.D.,Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NEIL D. FAGEN,M.D.,INC.

Practice address

18411 Clark St
204
Tarzana, CA 91356-3535

Phone

(818) 996-4796

Fax

(818) 996-4793

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Neil D Fagen, M.D.NPI 1700878428

Title

President

Phone

(818) 996-4796

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil D Fagen, MD

  • Gastroenterology Physician
  • Tarzana, CA
  • NPI 1700878428
  NPD (past) Authorized official

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1023311008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563535",
            "telephone_number": "818-996-4796",
            "fax_number": "818-996-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST",
            "address_2": "204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563535",
            "telephone_number": "818-996-4796",
            "fax_number": "818-996-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL D. FAGEN,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "FAGEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-996-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G293040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Nazarian, MD
• Romena Nazaryan
• NE Med Supply Inc
• Maricela Negrete, MEDICAL ASSISTANT
• Sarah Neider
• Nelson E Koe MD a Professional Corporation
• Leslie D Nelson
• Victoria Nelson, COUNSELOR III
• Neomed Home Services, Inc.
• Neomed Hospice Providers

• Gastroenterology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.