Organization Active NPI

M Phillip Fejleh MD Professional Medical Corporation

  • Gastroenterology Physician
  • La Mesa, CA
National Provider Identifier
1083403372
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
M PHILLIP FEJLEH MD PROFESSIONAL MEDICAL CORPORATION
Practice address
8860 Center Dr Ste 420
La Mesa, CA 91942-7001
Phone
(619) 469-5400
Fax
(619) 464-1311
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. M Phillip Fejleh, MD
Title
Ceo
Phone
(619) 469-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

8860 Center Dr Ste 420
La Mesa, CA 91942-7001

Mailing address

8860 Center Dr Ste 420
La Mesa, CA 91942-7001
Phone (619) 469-5400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1083403372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PHILLIP FEJLEH MD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "FEJLEH",
        "authorized_official_first_name": "M PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-469-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.