Mathias A.L. Fobi, MD FACS

Primary specialty

SpecialistTaxonomy code 174400000X

License

80447 Issued in GA

Practice address

21520 Pioneer Blvd
Suite 204
Hawaiian Gardens, CA 90716-2603

Phone

(562) 402-9779

Fax

(562) 402-9449

NPI assigned

Jan 18, 2007

Last updated

May 8, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Fobi Medical Group

  dba Center for Surgical Treatment of Obesity

  • Specialist
  • Long Beach, CA
  • NPI 1023146495
  Authorized official Same address or phone
• Gardens Regional Medical Center

  • Physician Assistant
  • Hawaiian Gardens, CA
  • NPI 1104099415
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1235282864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 BAHIA MAR CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871604",
            "telephone_number": "310-617-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 PIONEER BLVD",
            "address_2": "SUITE 204",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162603",
            "telephone_number": "562-402-9779",
            "fax_number": "562-402-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5695 Bahia Mar Cir",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300871604",
            "country_code": "US",
            "telephone_number": "310-617-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOBI",
        "first_name": "MATHIAS",
        "middle_name": "A.L.",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30361",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "80447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben A Ezquerro, DPM
• Family Health Care Centers of Greater Los Angeles, Inc. (Hawaiian Gardens Health Center)
• Weiqin Fang
• Melissa Felix
• First Care Vanguard Medical Clinic
• Jessica Foster
• Richard A Fujita, M.D.
• Yanet R. Gamboa
• Gardens Regional Hospital and Medical Center Inc (Gardens Regional Hospital and Medical Center)
• Gardens Regional Medical Center

• Specialist in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.