Organization Active NPI

Fairmount Podiatry Group

  • Foot Surgery Podiatrist
  • El Cerrito, CA
National Provider Identifier
1568772820
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E3401 Issued in CA
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

Updated by the provider on Apr 4, 2012

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.NPI 1679660013
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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.