Active NPI
Fazeela Ferouz MD Incorporated
- Anesthesiology Physician
- Fountain Valley, CA
National Provider Identifier
1477648079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G85633
- Legal business name
- FAZEELA FEROUZ MD INCORPORATED
- Practice address
- 10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845 - Phone
- (714) 274-0388
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fazeela Ferouz, M.D.
- Title
- President
- Phone
- (949) 599-4509
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G85633 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G85633 | CA |
Addresses
Primary practice location
10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845
Mailing address
PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G856330 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1689641482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1477648079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4259",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034259",
"telephone_number": "562-407-2080",
"fax_number": "562-407-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10760 WARNER AVE STE 102",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083845",
"telephone_number": "714-274-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAZEELA FEROUZ MD INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "FEROUZ",
"authorized_official_first_name": "FAZEELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-599-4509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G85633",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G85633",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G856330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.