Ayman Mounir Fakeh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C173261 Issued in CA

Practice address

7777 Milliken Ave Ste 240
Rancho Cucamonga, CA 91730-6781

Phone

(412) 996-9012

NPI assigned

Jul 9, 2009

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, CA2 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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians

Cucamonga Valley Medical Group IncGroup PAC ID 6709899883, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jameco Home Health Agency Inc Home health agency, Upland, CA, CCN 058081
• Tribute Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757415
• Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
• Secure Home Health Services, Inc Home health agency, Van Nuys, CA, CCN 757003
• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Cucamonga Valley Medical Group, Inc.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1497783229
  Medicare reassignment Care Compare group NPD
• Dazzle Health P C

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1578301495
  Medicare reassignment Care Compare group NPD
• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba Primary Care South

  • Internal Medicine Physician
  • McMurray, PA
  • NPI 1578999561
  NPD

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

• Jameco Home Health Agency, Inc.

  • Home Health Agency
  • Upland, CA
  • NPI 1477558633
  Care Compare affiliation Name & address match
• Onoria Health Care Provider Inc. Home Health and Hospice Services

  • Home Health Agency
  • Montclair, CA
  • NPI 1972864981
  Care Compare affiliation
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation
• Secure Home Health Services, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1740888692
  Care Compare affiliation
• Tribute Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1518537414
  Care Compare affiliation

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1245469345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781",
            "telephone_number": "412-996-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKEH",
        "first_name": "AYMAN",
        "middle_name": "MOUNIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD461643",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C173261",
            "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": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faculty Physicians and Surgeons of Llusm
• Faculty Physicians and Surgeons of Llusm
• John Andrew Fagan, MD
• Diane Faher, MD
• Haven James Fair, B.A. PSYCHOLOGY
• Haniah Aref Fakhoury
• Rommie Fawzi Fakhoury, MD
• Tatiana Fakhoury
• Yetunde Caroline Falade
• Regina Yvette Famiglietti, MS, LMFT

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Nov 8, 2023; 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.

Verify at the official NPI Registry.