George P. Fedor, M.D., a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A52838 Issued in CA

Legal business name

GEORGE P. FEDOR, M.D., A PROFESSIONAL CORPORATION

Practice address

250 S Grand Ave
Glendora, CA 91741-4218

Phone

(626) 857-3140

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. George Philip Fedor, M.D.NPI 1801987722

Title

President

Phone

(323) 346-7763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• George Philip Fedor, M.D.

  • Anesthesiology Physician
  • Glendora, CA
  • NPI 1801987722
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1619068574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 S DIAMOND BAR BLVD",
            "address_2": "4007",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917655679",
            "telephone_number": "909-878-6665",
            "fax_number": "909-595-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "626-857-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P. FEDOR, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FEDOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-346-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A52838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Gastelum, ACSW
• Joseph A Geleris, DDS
• Genesis Speech and Language Associates Inc
• George a,. Davis, Jr., D.D.S., Professional Corporation
• George a. Davis, Jr., D.D.S., P.C.
• German G Jaquez DDS a Professional Dental Corporation
• Get Well LLC
• Marc Ghabbour, M.D.
• Brandon Shirzad Ghalambor, AA
• Kurt Gilbertson, DPT

• Anesthesiology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.