Active NPI
Fairmount Podiatry Group
- Foot Surgery Podiatrist
- El Cerrito, CA
National Provider Identifier
1568772820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E3401
- Legal business name
- FAIRMOUNT PODIATRY GROUP
- Practice address
- 7524 Fairmount Ave
El Cerrito, CA 94530-3746 - Phone
- (510) 526-4244
- Fax
- (510) 526-9251
- NPI assigned
- Oct 20, 2010
- 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. Darlene Jo Fahmie, D.P.M.
- Title
- Provider
- Phone
- (510) 526-4266
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E3401 | CA | Primary |
Addresses
Primary practice location
7524 Fairmount Ave
El Cerrito, CA 94530-3746
Mailing address
7524 Fairmount Ave
El Cerrito, CA 94530-3746
Phone (510) 526-4244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930061900 | CA | DME Supplier - Physician - Podiatry | 5193933687 |
1 other NPI on this enrollment Practice locations: El Cerrito, CA |
| O20110106000920 | CA | Part B Supplier - Clinic/Group Practice | 5193933687 |
Receives reassigned benefits from 2 practitioners Practice locations: El Cerrito, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- El Cerrito, CA
- NPI 1679660013
-
- Podiatrist
- El Cerrito, CA
- NPI 1447351580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1568772820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7524 FAIRMOUNT AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303746",
"telephone_number": "510-526-4244",
"fax_number": "510-526-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7524 FAIRMOUNT AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945303746",
"telephone_number": "510-526-4244",
"fax_number": "510-526-9251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRMOUNT PODIATRY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "FAHMIE",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "510-526-4266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E3401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.