Individual provider Active NPI

Frederick Asante Afari, MD

  • Family Medicine Physician
  • Coachella, CA
National Provider Identifier
1174010169
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A173474 Issued in CA
Practice address
50249 Cesar Chavez St Ste K
Coachella, CA 92236-1530
Phone
(760) 393-0555
Fax
(760) 393-0522
NPI assigned
Apr 16, 2018
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 NU
Family Medicine Physician 207Q00000X A173474 CA Primary

Addresses

Primary practice location

50249 Cesar Chavez St Ste K
Coachella, CA 92236-1530

Mailing address

50249 Cesar Chavez St Ste K
Coachella, CA 92236-1530
Phone (760) 393-0555

Other practice location 1

Eisenhower Health Family Medicine Residency
39000 Bob Hope Drive, ACHS-GME Office
Rancho Mirage, CA 92270-3221
Phone (760) 340-8248

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
I20211101000982 CA Practitioner - Family Practice 0648678847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Yehowa Medical ServicesGroup PAC ID 6103098124, 2 clinicians
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

1039 W Florence Ave
Los Angeles, CA 90044-2441

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173474CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Dec 6, 2022 Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Aug 13, 2021 Accepting new patients
Dap Health Inc. Current Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Beaver Medical Group P C CurrentSince Oct 25, 2021 Accepting new patients
Southern California Emergency Medicine CurrentSince Dec 6, 2022 Accepting new patients
Southern California Emergency Medicine Current Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Oct 25, 2021 Accepting new patients
Dap Health, Inc. Family Medicine CurrentSince Jun 2, 2024 Accepting new patients
Dap Health, Inc. CurrentSince Jun 2, 2024 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Aug 13, 2021 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Yehowa Medical Services Past Accepting new patients
Yehowa Medical Services PastSince Jul 10, 2022 Accepting new patients
Yehowa Medical Services PastSince Mar 28, 2021 Accepting new patients

Locations

321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981

50249 Harrison St
Ste K
Coachella, CA 92236
Phone (760) 393-0555

66675 Pierson Blvd
Desert Hot Springs, CA 92240
Phone (760) 676-5240

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fafari18924@epiclp.direct-ci.com
  • Direct secure messaging: fafari684539@direct.ochin.org
  • Direct secure messaging: frederick.afari.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1174010169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50249 CESAR CHAVEZ ST STE K",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361530",
            "telephone_number": "760-393-0555",
            "fax_number": "760-393-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50249 CESAR CHAVEZ ST STE K",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361530",
            "telephone_number": "760-393-0555",
            "fax_number": "760-393-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Eisenhower Health Family Medicine Residency",
            "address_2": "39000 Bob Hope Drive, ACHS-GME Office",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFARI",
        "first_name": "FREDERICK",
        "middle_name": "ASANTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

Verify at the official NPI Registry.