Individual provider Active NPI

Fatimah Zainab Fahimuddin, MD

  • Maternal & Fetal Medicine Physician
  • Fresno, CA
National Provider Identifier
1396278537
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A158846 Issued in CA
Practice address
2210 E Illinois Ave Ste 301
Fresno, CA 93701-2184
Phone
(559) 320-0555
Fax
(559) 320-0558
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A158846 CA Primary

Addresses

Primary practice location

2210 E Illinois Ave Ste 301
Fresno, CA 93701-2184

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240822003499 CA Practitioner - Obstetrics/Gynecology 4587103460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2210 E Illinois Ave
Suite 301
Fresno, CA 93701-2184
Phone (559) 320-0555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158846CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates , Inc. CurrentSince Oct 7, 2024 Accepting new patients
Central California Faculty Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
University Faculty Associates, Inc. Obstetrics & Gynecology CurrentSince Oct 7, 2024 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

290 N Wayte Ln
Ste 1200
Fresno, CA 93701

155 N Fresno St
Fresno, CA 93701
Phone (559) 499-6440

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

2210 E Illinois Ave
Ste 301
Fresno, CA 93701
Phone (559) 320-0555

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

Interoperability endpoints

  • Direct secure messaging: fatimah.fahimuddin.1@17661.direct.athenahealth.com
  • Direct secure messaging: fatimah.fahimuddin.1@31788.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1396278537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-320-0555",
            "fax_number": "559-320-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIMUDDIN",
        "first_name": "FATIMAH",
        "middle_name": "ZAINAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A158846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.