Active NPI
Fadia Rafla Attia, MD
- Internal Medicine Physician
- Corona, CA
National Provider Identifier
1578626925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A45954
- Practice address
- 1820 Fullerton Ave Ste 115
Corona, CA 92881-3160 - Phone
- (951) 734-3233
- Fax
- (951) 734-5284
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A45954 | CA | Primary |
Addresses
Primary practice location
1820 Fullerton Ave Ste 115
Corona, CA 92881-3160
Mailing address
1901 Town and Country Dr Ste 104
Norco, CA 92860-3611
Phone (951) 808-6240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578626925 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100527000315 | CA | Practitioner - Internal Medicine | 1153450291 | Practice locations: Corona, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45954 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1578626925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 TOWN AND COUNTRY DR STE 104",
"city": "NORCO",
"state": "CA",
"postal_code": "928603611",
"telephone_number": "951-808-6240",
"fax_number": "951-738-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 FULLERTON AVE STE 115",
"city": "CORONA",
"state": "CA",
"postal_code": "928813160",
"telephone_number": "951-734-3233",
"fax_number": "951-734-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTIA",
"first_name": "FADIA",
"middle_name": "RAFLA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A45954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578626925",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.