Richard Ian Fedder, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G26900 Issued in CA

Practice address

415 N Crescent Dr
Suite 300
Beverly Hills, CA 90210-4860

Phone

(310) 246-1011

Fax

(310) 273-1260

NPI assigned

Jan 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1518239243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR",
            "address_2": "SUITE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104860",
            "telephone_number": "310-246-1011",
            "fax_number": "310-273-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR",
            "address_2": "SUITE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104860",
            "telephone_number": "310-246-1011",
            "fax_number": "310-273-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "RICHARD",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G26900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fasa Medical, Inc., a Professional Corporation
• Mimi Pantitra Fayer, LMFT
• Mariana Fayman, P.A.-C, RN
• Elai Fazel
• Farideh Fazlian, PHD
• Max G. Feirstein, PH.D.
• Farzin Feizbakhsh, MD
• Oron Y Feld, D.D.S.
• Alexandra E Feldman, OTD, OTR/L
• Lisa Feldman, LMFT

• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.