Med-Ped I D Incorporated

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A60874 Issued in CA

Legal business name

MED-PED I D INCORPORATED

Practice address

28078 Baxter Rd
Suite 320
Murrieta, CA 92563-1402

Phone

(951) 679-5811

Fax

(951) 679-5844

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Chawki Harfouch, MDNPI 1942462783

Title

Employee

Phone

(951) 679-5811

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chawki Harfouch, M.D.

  • Specialist
  • Murrieta, CA
  • NPI 1942462783

  Infectious Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Emily Kim

  • Infectious Disease Physician
  • Murrieta, CA
  • NPI 1245766088
  Medicare reassignment Care Compare group NPD
• Thuan Le, M.D.

  • Infectious Disease Physician
  • Murrieta, CA
  • NPI 1396842704
  Medicare reassignment Care Compare group NPD
• Amber O'Connor

  • Student in an Organized Health Care Education/Training Program
  • Santa Clara, CA
  • NPI 1023646114
  Medicare reassignment NPD
• John P Santoro, DPM

  • Foot & Ankle Surgery Podiatrist
  • Murrieta, CA
  • NPI 1548271828

  Podiatric

  Medicare reassignment NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1245330364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 320",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-5811",
            "fax_number": "951-679-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 320",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-679-5811",
            "fax_number": "951-679-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28078 Baxter Rd Ste 424",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925631404",
            "country_code": "US",
            "telephone_number": "951-679-5811",
            "fax_number": "951-679-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED-PED I D INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HARFOUCH",
        "authorized_official_first_name": "CHAWKI",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "951-679-5811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A60874",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Taylor McNiece, MA
• Amber Nicole McPherson, DOULA
• Katelyn Jean McSkane, FNP
• Briana Borda McVey, FNP
• Gabrielle Mead
• Med-Ped I D Incorporated (Total Foot & Ankle Restoration & Preservation)
• Medical Laboratory Services Medical Group Inc
• Medical Laboratory Services Medical Group, Inc.
• Haley Medina
• Kateline Medina, LICENSED

• Infectious Disease Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.