Habib Fatolomi, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A48895 Issued in CA

Practice address

18318 Sherman Way
Reseda, CA 91335-4442

Phone

(818) 757-7246

Fax

(818) 757-3024

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Keivan Fatolomi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174617880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354442",
            "telephone_number": "818-757-7246",
            "fax_number": "310-757-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354442",
            "telephone_number": "818-757-7246",
            "fax_number": "818-757-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATOLOMI",
        "first_name": "HABIB",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A48895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A48895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEIVAN",
            "last_name": "FATOLOMI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Medical Diagnostics Inc
• Andishe Farahmand
• Farahnaz Jalali Chiropractic, Inc.
• Fadi A. Farsakh, DMD
• Farzaneh Radparvar Inc
• Amanda Louise Fee
• Ytzel Anais Fernandez Flores
• Ferras Mashtoub, DDS Inc.
• Maryam Firoozinejad Shirazi, LCSW
• First Aid Health Care Inc

• All providers in Reseda, CA
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.