Individual provider Active NPI

Feven Wolday, MD

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1124474812
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A155390 Issued in CA
Practice address
1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone
(909) 469-9494
Fax
(909) 620-7285
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A155390 CA Primary

Addresses

Primary practice location

1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027

Mailing address

2140 Grand Ave Ste 125
Chino Hills, CA 91709-6802
Phone (909) 630-7875

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
I20190829002904 CA Practitioner - Family Practice 8022372960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6802
Phone (909) 630-7875

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155390CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Apr 16, 2019 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Apr 16, 2019 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

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 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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1124474812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 GRAND AVE STE 125",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096802",
            "telephone_number": "909-630-7875",
            "fax_number": "909-630-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE",
            "address_2": "SUITE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-620-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDAY",
        "first_name": "FEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A155390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.