Individual provider Active NPI

Sylvia Mary Guirguis Felobous, MD

  • Pediatrics Physician
  • South Gate, CA
National Provider Identifier
1114027125
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A75000 Issued in CA
Practice address
8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011
Phone
(323) 588-3300
Fax
(323) 588-0855
NPI assigned
Sep 22, 2006
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 A75000 CA Primary

Addresses

Primary practice location

8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011

Mailing address

8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011
Phone (323) 588-3300

Other practice location 1

5920 Atlantic Blvd
Maywood, CA 90270-3101
Phone (323) 562-2535

Other identifiers 1

IdentifierTypeStateIssuer
00A750000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A75000CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Medical Clinic, Inc PastSince Sep 1, 2015 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1114027125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "CA",
            "postal_code": "902703101",
            "country_code": "US",
            "telephone_number": "323-562-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELOBOUS",
        "first_name": "SYLVIA MARY",
        "middle_name": "GUIRGUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A75000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A750000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.