Individual provider Active NPI

Emmanuel Torrefiel Fabella, MD

  • Internal Medicine Physician
  • Tulare, CA
National Provider Identifier
1114973468
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51956 Issued in CA
Practice address
880 E Merritt Ave
Suite 102
Tulare, CA 93274-2244
Phone
(559) 687-8200
Fax
(559) 687-8282
NPI assigned
May 26, 2006
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51956 CA Primary

Addresses

Primary practice location

880 E Merritt Ave
Suite 102
Tulare, CA 93274-2244

Mailing address

PO Box 2053
Tulare, CA 93275-2053
Phone (559) 687-8200

Other identifiers 1

IdentifierTypeStateIssuer
00C519560MedicaidCA

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
I20060928000158 CA Practitioner - Internal Medicine 2668477571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

880 E Merritt Ave
Suite 102
Tulare, CA 93274-2247
Phone (559) 687-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51956CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health la Porte Hospital Inc Past Accepting new patients
Sutton Medical Services, LLC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1114973468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2053",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932752053",
            "telephone_number": "559-687-8200",
            "fax_number": "559-687-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E MERRITT AVE",
            "address_2": "SUITE 102",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742244",
            "telephone_number": "559-687-8200",
            "fax_number": "559-687-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELLA",
        "first_name": "EMMANUEL",
        "middle_name": "TORREFIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C519560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.