NPIMap

Individual provider Active NPI

David Fahim, DO

  • Family Medicine Physician
  • San Dimas, CA
National Provider Identifier
1396481891
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A21993 Issued in CA
Practice address
1330 W Covina Blvd Ste 201
San Dimas, CA 91773-3200
Phone
(626) 999-9118
Fax
(626) 999-9133
NPI assigned
May 7, 2022
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 20A21993 CA Primary

Addresses

Primary practice location

1330 W Covina Blvd Ste 201
San Dimas, CA 91773-3200

Mailing address

1330 W Covina Blvd Ste 201
San Dimas, CA 91773-3200
Phone (626) 999-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701002220 CA Practitioner - Family Practice 4981117173 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vital Medical Group IncGroup PAC ID 5597106930, 8 clinicians
Advocate Family Medicine ClinicGroup PAC ID 7719330539, 3 clinicians
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians
Gap Post-Acute Care ServicesGroup PAC ID 9830619444, 14 clinicians
Epic Medical Group,IncGroup PAC ID 4385883958, 54 clinicians

Practice addresses (Care Compare)

1314 W Glenoaks Blvd
Suite 205
Glendale, CA 91201-4890
Phone (818) 396-5158

1330 W Covina Blvd
Suite 201
San Dimas, CA 91773-3200
Phone (626) 999-9118

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7522
Phone (951) 346-0041

14857 Roscoe Blvd
Panorama City, CA 91402-4617
Phone (818) 667-6488

4955 Van Nuys Blvd
Suite 308
Sherman Oaks, CA 91403-1811
Phone (818) 528-1260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21993CAMDAddiction (Substance Use Disorder) Counselor
20A21993CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Group, Inc Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Gap Post-Acute Care Services Family Medicine CurrentSince Jun 15, 2025 Accepting new patients
Epic Medical Group,Inc CurrentSince Jul 1, 2025 Accepting new patients
Advocate Family Medicine Clinic Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Desert Valley Medical Group, Inc Family Medicine CurrentSince Aug 21, 2025 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Onyx Medical Group Inc CurrentSince Jun 26, 2025 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Aug 21, 2025 Accepting new patients
Ac and CS PastSince Jun 26, 2025 Accepting new patients

Locations

5450 Jefferson Ave
Ste 3
Chino, CA 91710
Phone (909) 464-8600

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202

14857 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 667-6488

1330 W Covina Blvd
Ste 201
San Dimas, CA 91773
Phone (626) 999-9118

4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1090

4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1396481891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD STE 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "626-999-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD STE 201",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "626-999-9118",
            "fax_number": "626-999-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIM",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.