Individual provider Active NPI

Faiza Iram, MD

  • Pediatrics Physician
  • Bloomington, CA
National Provider Identifier
1063773141
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C168755 Issued in CA
Practice address
18601 Valley Blvd
Bloomington, CA 92316-1831
Phone
(909) 546-7520
NPI assigned
Jun 5, 2012
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C168755 CA Primary

Addresses

Primary practice location

18601 Valley Blvd
Bloomington, CA 92316-1831

Mailing address

18601 Valley Blvd
Bloomington, CA 92316-1831
Phone (909) 546-7520

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
I20241021002589 CA Practitioner - Pediatric Medicine 9638391535 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthylife MG Corp CurrentSince Nov 1, 2024 Accepting new patients
Community Health Systems, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Pediatric Affiliates Medical Group Inc Pediatrics Past Accepting new patients
Sun Medical Group, Inc Past Accepting new patients
Sun Medical Group, Inc. Past Accepting new patients
Janesri de Silva M.D. a Prof Corp Pediatrics Past Accepting new patients

Locations

18601 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

5255 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 463-7262

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: faiza.iram.p1@direct.chsica.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1063773141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 VALLEY BLVD",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161831",
            "telephone_number": "909-546-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 VALLEY BLVD",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161831",
            "telephone_number": "909-546-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRAM",
        "first_name": "FAIZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C168755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, CA

Sources for this page

Verify at the official NPI Registry.