Individual provider Active NPI

Fady Kadifa, M.D.

  • Pulmonary Disease Physician
  • Laguna Hills, CA
National Provider Identifier
1083711014
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A50822 Issued in CA
Practice address
24411 Health Center Dr
Ste 560
Laguna Hills, CA 92653-3651
Phone
(949) 452-0061
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A50822 CA
Pulmonary Disease Physician 207RP1001X A50822 CA Primary

Addresses

Primary practice location

24411 Health Center Dr
Ste 560
Laguna Hills, CA 92653-3651

Mailing address

PO Box 7630
Laguna Niguel, CA 92607-7630

Other identifiers 2

IdentifierTypeStateIssuer
P00229594OtherMEDICARE RAILROAD
00A508220MedicaidCA

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
I20040209001290 CA Practitioner - Pulmonary Disease 0941194112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Saddleback Respiratory Medical GRPGroup PAC ID 4385686492, 4 clinicians

Practice addresses (Care Compare)

24411 Health Ctr Dr
Suite 560
Laguna Hills, CA 92653-3687
Phone (949) 452-0061

Hospital & facility affiliations

  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as individual
Quality
76.93
Improvement activities
40
Cost
85.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50822CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Respiratory Medical GRP Pulmonary Disease CurrentSince Sep 18, 2011 Accepting new patients
Southern California Riviera Pulmonary Disease CurrentSince Oct 1, 2004 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Samarjit Singh MD Inc Critical Care Medicine Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

18111 Brookhurst St
Ste 4600
Fountain Vly, CA 92708
Phone (714) 378-5550

9900 Talbert Ave
Ste 100
Fountain Vly, CA 92708
Phone (714) 698-8028

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

24451 Health Center Dr
Ste 560
Laguna Hills, CA 92653

24411 Health Center Dr
Ste 560
Laguna Hills, CA 92653
Phone (949) 452-0061

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fady.kadifa.p39@direct.monarchhealthcare.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1083711014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7630",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "STE 560",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-452-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIFA",
        "first_name": "FADY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A50822",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A50822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00229594",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A508220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.