Active NPI
Magued Rassem Fadly, M.D.
- Pain Medicine (Anesthesiology) Physician
- Woodland Hills, CA
National Provider Identifier
1194774034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A64236
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A64236 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Surgery Center Inc | Current | 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.
-
- Specialist
- Woodland Hills, CA
- NPI 1407911324
-
- Ambulatory Surgical Clinic/Center
- West Hills, CA
- NPI 1497195440
-
- Ambulatory Surgical Clinic/Center
- West Hills, CA
- NPI 1821650995
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.