Individual provider Active NPI

Ramon Fakhoury, M.D.

  • Family Medicine Physician
  • Norco, CA
National Provider Identifier
1427266691
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98772 Issued in CA
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

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427266691MedicaidCA

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
I20090423000226 CA Practitioner - Family Practice 9931257367 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98772CAMDFamily Medicine Physician
35.089349OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nomar Corporation Family Medicine CurrentSince Jul 25, 2020 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.

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

Verify at the official NPI Registry.