Fatma Haney, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A063529 Issued in CA

Practice address

840 Winthrop Rd
San Marino, CA 91108-1708

Phone

(575) 622-2606

Fax

(575) 622-6645

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Fatma Denicholas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fhaney8469@ahs.direct-ci.com
• Direct secure messaging: fatma.haneymd.p1@direct.afh.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Twain Medical Center

  • Critical Access Hospital
  • San Andreas, CA
  • NPI 1508968819
  NPD (past)
• Mark Twain Medical Center

  • Rural Health Clinic/Center
  • Angels Camp, CA
  • NPI 1942362561
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1639286263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WINTHROP RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081708",
            "telephone_number": "575-622-2606",
            "fax_number": "575-622-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WINTHROP RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081708",
            "telephone_number": "575-622-2606",
            "fax_number": "575-622-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "FATMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2006-0086",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A063529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60877324",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATMA",
            "last_name": "DENICHOLAS",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry E Goodreau, DDS
• Bruce Gross, PH.D.
• Iris Haas-Biel
• Nabil Kamel Habib, M.D.
• Jack Gleaton Hamilton Jr., D.D.S.
• Lyle Marie Hanf
• Brian D Hardgrave, LCSW
• William Hasbun, RPH
• Sharon Heung
• Linda M Hill, MFT

• Pediatrics Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.