Individual provider Active NPI

Mohammad Phillip Charles Fejleh, MD

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1205240959
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A149205 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD229132 OR
Gastroenterology Physician 207RG0100X A149205 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273

Other practice location 1

25050 SE Stark St
Gresham, OR 97030-3327
Phone (503) 674-1848

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200910003305 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9133348600 Reassigns benefits to 7 organizations
I20260323003224 OR Practitioner - Gastroenterology 9133348600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Western Gastroenterology Care Associates IncGroup PAC ID 2062780307, 6 clinicians
Banaie Medical CorporationGroup PAC ID 7810977501, 3 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

8860 Ctr Dr
Suite 420
La Mesa, CA 91942-7001
Phone (619) 469-5400

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149205CAMDMarriage & Family Therapist
A149205CAMDGastroenterology Physician
MD229132ORMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jan 5, 2022 Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jan 1, 2026 Accepting new patients
Western Gastroenterology Care Associates Inc Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of California - Ucsd Medical Group Gastroenterology CurrentSince Jun 10, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 5, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 8, 2025 Accepting new patients
Banaie Medical Corporation Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Regents of the University of California Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California CurrentSince Jun 10, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8860 Center Dr
Ste 420
La Mesa, CA 91942
Phone (619) 469-5400

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1205240959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "800-926-8273",
            "fax_number": "888-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25050 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303327",
            "country_code": "US",
            "telephone_number": "503-674-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEJLEH",
        "first_name": "MOHAMMAD PHILLIP",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD229132",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A149205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.