Organization Active NPI

F Al Faisal MD Inc

  • Neurology Physician
  • Burbank, CA
National Provider Identifier
1649373622
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
F AL FAISAL MD INC
Practice address
1218 W Olive Ave
Burbank, CA 91506-2216
Phone
(818) 845-2255
Fax
(818) 845-2828
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Dr. Fawaz Faisal, M.D.NPI 1487679361
Title
Owner/Physician
Phone
(818) 845-2255

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1218 W Olive Ave
Burbank, CA 91506-2216

Mailing address

1218 W Olive Ave
Burbank, CA 91506-2216
Phone (818) 845-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000420 CA Part B Supplier - Clinic/Group Practice 3476448291 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA; West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

1220 W Olive Ave
Burbank, CA 91506
Phone (818) 845-2255

1218 W Olive Ave
Burbank, CA 91506
Phone (818) 842-6429

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1649373622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255",
            "fax_number": "818-845-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255",
            "fax_number": "818-845-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F AL FAISAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "818-845-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.