Troy Fennell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A100492 Issued in CA

Practice address

27574 Commerce Center Dr
Suite 232
Temecula, CA 92590-2500

Phone

(951) 695-9648

Fax

(951) 695-3949

NPI assigned

Dec 21, 2007

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Troy V. Fennell M.D.

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1871816066
  NPD (past) Authorized official
• Lina Suchov a Professional Psychology Corporation

  • Psychologist
  • Encino, CA
  • NPI 1588085328
  NPD (past)
• Tracy D. Charles M.D. Inc

  • Anesthesiology Physician
  • Temecula, CA
  • NPI 1639341944
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1225212566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27574 COMMERCE CENTER DR",
            "address_2": "SUITE 232",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902500",
            "telephone_number": "951-695-9648",
            "fax_number": "951-695-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27574 COMMERCE CENTER DR",
            "address_2": "SUITE 232",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902500",
            "telephone_number": "951-695-9648",
            "fax_number": "951-695-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100492",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A100492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A100492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Douglas Fejerang, IDC
• Isabelle Feller, FNP-BC, MSN
• Kelly Felton
• Sydney Fenech
• Fenix Home Health LLC
• Ferguson Chiropractic & Wellness, PC (Lawlor-Ferguson Chiropractic & Wellness)
• Sarah Ferguson, D.C.
• Wendy Ferguson, LMFT
• Yasmeen Ferhat
• Delmar Fernandez Montero

• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.