Individual provider Active NPI

Fareed Ramzi Asfour, M.D.

  • Infectious Disease Physician
  • Lakeport, CA
National Provider Identifier
1447343496
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A71648 Issued in CA
Practice address
5176 Hill Rd E
Lakeport, CA 95453-6357
Phone
(628) 600-3589
NPI assigned
Oct 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71648 CA
Infectious Disease Physician 207RI0200X A71648 CA Primary

Addresses

Primary practice location

5176 Hill Rd E
Lakeport, CA 95453-6357

Mailing address

1141 Catalina Dr # 194
Livermore, CA 94550-5928
Phone (775) 364-0900

Other practice location 1

834 5th Ave Ste 2
San Rafael, CA 94901-3254
Phone (628) 600-3589

Other identifiers 2

IdentifierTypeStateIssuer
00A716480MedicaidCA
A71648OtherCASTATE LICENSE

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
I20061005000645 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8022014554 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Praxis Infectious DiseasesGroup PAC ID 9638412075, 2 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 308
San Leandro, CA 94578-2630
Phone (925) 463-1318

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (628) 600-3589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Infectious Diseases Infectious Disease CurrentSince Mar 21, 2019 Accepting new patients
Alameda Health System Current Accepting new patients
Diablo Infectious Disease Consultative Service Med GRP Inc Infectious Disease CurrentSince Jan 1, 2007 Accepting new patients
Dr Christina Hopson Inc Infectious Disease Past Accepting new patients

Locations

15400 Foothill Blvd
Bldg E
Castro Valley, CA 94578
Phone (510) 895-4200

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

120 Ward St
Unit 5010
Larkspur, CA 94977

1141 Catalina Dr
#194
Livermore, CA 94550

1789 Barcelona St
Livermore, CA 94550

4049 1st St
Ste 134
Livermore, CA 94551
Phone (628) 600-3589

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

834 5th Ave
Ste 2
San Rafael, CA 94901
Phone (628) 600-3589

1674 US Highway 395 N
Ste 301
Minden, NV 89423

Interoperability endpoints

  • Direct secure messaging: fasfour14035@alamedahs.direct-ci.com
  • Direct secure messaging: fasfourmd193590@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447343496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CATALINA DR # 194",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505928",
            "telephone_number": "775-364-0900",
            "fax_number": "925-226-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536357",
            "telephone_number": "628-600-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 5th Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013254",
            "country_code": "US",
            "telephone_number": "628-600-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASFOUR",
        "first_name": "FAREED",
        "middle_name": "RAMZI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71648",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A71648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A716480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A71648",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.