Active NPI
Fareeha Sial
- Physician Assistant
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57097
- Practice address
- 13524 Baneberry St
Moreno Valley, CA 92553-4822 - Phone
- (619) 750-9752
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57097 | CA | Primary |
Addresses
Primary practice location
13524 Baneberry St
Moreno Valley, CA 92553-4822
Mailing address
13524 Baneberry St
Moreno Valley, CA 92553-4822
Phone (619) 750-9752
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57097 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| PRN Urgent Care, Inc. | Past | Accepting new patients |
Locations
11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141
1535 E Colorado St
Glendale, CA 91205
12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222
1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Needles, CA
- NPI 1922356369
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Pediatric Cardiology Physician
- Beaumont, CA
- NPI 1871766121
-
- Federally Qualified Health Center (FQHC)
- Hesperia, CA
- NPI 1518657659
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1871484618
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1366850059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1124676168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13524 BANEBERRY ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534822",
"telephone_number": "619-750-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13524 BANEBERRY ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925534822",
"telephone_number": "619-750-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAL",
"first_name": "FAREEHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.