Active NPI
Ramon Fakhoury, M.D.
- Family Medicine Physician
- Norco, CA
National Provider Identifier
1427266691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A98772
- Practice address
- 1780 Town and Country Dr Ste 103
Norco, CA 92860-3618 - Phone
- (951) 270-0757
- Fax
- (951) 270-0759
- NPI assigned
- May 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A98772 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 35.089349 | OH |
Addresses
Primary practice location
1780 Town and Country Dr Ste 103
Norco, CA 92860-3618
Mailing address
PO Box 579
Norco, CA 92860-0579
Phone (951) 270-0757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427266691 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1780 Town and Country Dr
Suite 103
Norco, CA 92860-3618
Phone (951) 270-0757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98772 | CA | MD | Family Medicine Physician |
| 35.089349 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nomar Corporation | Family Medicine | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
1780 Town and Country Dr
Norco, CA 92860
Phone (951) 850-3942
1780 Town and Country Dr
Ste 103
Norco, CA 92860
Phone (949) 503-1092
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Family Medicine Physician
- Norco, CA
- NPI 1912132754
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1427266691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "NORCO",
"state": "CA",
"postal_code": "928600579",
"telephone_number": "951-270-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 TOWN AND COUNTRY DR STE 103",
"city": "NORCO",
"state": "CA",
"postal_code": "928603618",
"telephone_number": "951-270-0757",
"fax_number": "951-270-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURY",
"first_name": "RAMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-19",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A98772",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.089349",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427266691",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.