Fairfield Medical Center Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A409530 Issued in CA

Legal business name

FAIRFIELD MEDICAL CENTER INC

Practice address

1930 Pennsylvania Ave
Fairfield, CA 94533

Phone

(707) 425-3888

Fax

(707) 425-7757

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nabil F Athanassious, MD

Title

President

Phone

(707) 425-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083703532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PENNSYLVANIA AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-425-3888",
            "fax_number": "707-425-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PENNSYLVANIA AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-425-3888",
            "fax_number": "707-425-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATHANASSIOUS",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-425-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A409530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health Fairfield
• Eyes of Fairfield (Site For Sore Eyes)
• Sontino Faafiu
• Homayoun Faghihi-Shirazi, M.D.
• Fairfield Health Care, Inc. (Fairfield Post-Acute Rehab)
• Fairfield on-Call Specialists PC
• Fairfield Suisun Usd
• Julie Kae Falicki, LMFT
• Family Eye Associates
• Family Eye Associates Optometric Group, Inc.

• Urology Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.