NPIMap

Individual provider Active NPI

Fawaz Faisal, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Burbank, CA
National Provider Identifier
1487679361
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A50545 Issued in CA
Practice address
1218 W Olive Ave
Burbank, CA 91506-2216
Phone
(818) 845-2255
Fax
(818) 845-2828
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A50545 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A50545 CA Primary

Addresses

Primary practice location

1218 W Olive Ave
Burbank, CA 91506-2216

Mailing address

1220 W Olive Ave
Burbank, CA 91506-2216
Phone (818) 845-2255

Other identifiers 2

IdentifierTypeStateIssuer
00A505450MedicaidCA
1649373622OtherCANPI

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
I20040324001636 CA Practitioner - Sleep MedicinePractitioner - NeurologyPractitioner - Psychiatry 8729973540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology, Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

1218 W Olive Ave
Burbank, CA 91506-2216
Phone (818) 845-2255

1451 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4056
Phone (818) 265-2245

Hospital & facility affiliations

  • La Direct Home Health Care, Inc Home health agency, Glendale, CA, CCN 757503
  • Pioneer Home Health Services, Inc Home health agency, Pacoima, CA, CCN 059498
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50545CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cognacare Neurologic, Inc Neurology CurrentSince Apr 4, 2025 Accepting new patients
Vahe Akopian MD Inc Neurology CurrentSince Apr 4, 2025 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Allied Pain and Wellness Simian Chiropractic Inc. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Active Life, LLC Past Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1487679361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255",
            "fax_number": "818-845-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255",
            "fax_number": "818-845-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISAL",
        "first_name": "FAWAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A50545",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A50545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A505450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649373622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.