Individual provider Active NPI

Magued Rassem Fadly, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Woodland Hills, CA
National Provider Identifier
1194774034
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A64236 Issued in CA
Practice address
23018 Ventura Blvd
Woodland Hills, CA 91364-1108
Phone
(818) 225-0045
Fax
(818) 225-0142
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A64236 CA Primary

Addresses

Primary practice location

23018 Ventura Blvd
Woodland Hills, CA 91364-1108

Mailing address

11862 Balboa Blvd
# 195
Granada Hills, CA 91344-2753
Phone (818) 406-7696

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
I20070226000683 CA Practitioner - AnesthesiologyPractitioner - Pain Management 7719089549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19228 Ventura Blvd
Suite a
Tarzana, CA 91356-3101
Phone (818) 225-0045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64236CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Surgery Center Inc CurrentSince May 23, 2013 Accepting new patients
Premiere Outpatient Surgery Center Corp Current Accepting new patients

Locations

7325 Medical Center Dr
Ste 103
West Hills, CA 91307
Phone (818) 225-0045

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194774034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11862 BALBOA BLVD",
            "address_2": "# 195",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442753",
            "telephone_number": "818-406-7696",
            "fax_number": "818-225-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23018 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641108",
            "telephone_number": "818-225-0045",
            "fax_number": "818-225-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADLY",
        "first_name": "MAGUED",
        "middle_name": "RASSEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A64236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.