Organization Active NPI

P Eva Fadul MD Inc

  • Anesthesiology Physician
  • Escondido, CA
National Provider Identifier
1124986765
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
P EVA FADUL MD INC
Practice address
10554 Aspen GLN
Escondido, CA 92026-7324
Phone
(760) 877-7667
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Dr. Pamela Eva Fadul, MDNPI 1467437905
Title
Ceo
Phone
(760) 877-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

10554 Aspen GLN
Escondido, CA 92026-7324

Mailing address

10554 Aspen GLN
Escondido, CA 92026-7324
Phone (760) 877-7667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417001140 CA Part B Supplier - Clinic/Group Practice 2961978820 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA; Poway, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1124986765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 ASPEN GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267324",
            "telephone_number": "760-877-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 ASPEN GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267324",
            "telephone_number": "760-877-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P EVA FADUL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "FADUL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-877-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.