San Juan Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

GR0105670 Issued in CA

Legal business name

SAN JUAN PEDIATRICS INC

Doing business as

San Juan Pediatrics Inc

Practice address

27372 Calle Arroyo
San Juan Capistrano, CA 92675-2746

Phone

(949) 388-9009

Fax

(949) 388-9665

NPI assigned

Nov 9, 2007

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SAN JUAN PEDIATRICS INCAs reported in NPPES

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

Authorized official

Name

Dr. Ashraf G. Fahim, MDNPI 1841389814

Title

Owner / Physician

Phone

(949) 388-9009

Specialties & licenses 1

Addresses

Other names 1

• San Juan Pediatrics Inc Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

San Juan Pediatrics Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashraf Gamil Fahim, MD

  • Pediatrics Physician
  • San Juan Capistrano, CA
  • NPI 1841389814
  NPD Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1073793790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27372 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752746",
            "telephone_number": "949-388-9009",
            "fax_number": "949-388-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27372 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752746",
            "telephone_number": "949-388-9009",
            "fax_number": "949-388-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PEDIATRICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JUAN PEDIATRICS INC",
        "enumeration_date": "2007-11-09",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "FAHIM",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "949-388-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "GR0105670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Pediatrics Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Saito Tyson, DC
• Brooke Sampson
• Samuel L. Kipper, M.D., Inc.
• San Juan Capistrano Surgery Center,LLC
• San Juan Family Health Urgent Care Medical Center
• San Juan Pharmacy
• Chantal Angela Sanchez
• Guadalupe Cristal Sanchez
• Michele Denise Sandberg
• Andrea Michell Sandoval, DC

• Pediatrics Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.