Frederick Mayer Fauvre, M.D.
Individual provider Active NPI Internal Medicine Physician · Ojai, CA
NPI 1669554390 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1669554390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G18788 (CA)
- Practice address
- 1320 Maricopa Highway
Suite I
Ojai, CA 93023-3154 - Phone
- (805) 646-8138
- Fax
- (805) 646-3150
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000893 | CA | Practitioner - Internal Medicine | 9537283072 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18788 | CA | MD | Internal Medicine Physician |
| 18788 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- fredfauvre@fauv.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G18788 | CA | Yes |
Addresses
Primary practice location
1320 Maricopa Highway
Suite I
Ojai, CA 93023-3154
Mailing address
1320 Maricopa Highway
Suite I
Ojai, CA 93023-3154
Phone (805) 646-8138
Other providers in Ojai, CA
- Cathy Lambert Estill
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- Joanna R Evans
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- Laura Farhat
- Jacqueline Feather
- Robert Emerson Feiss
- Fierro Physical Therapy and Sports Performance Inc.
- Flourish Behavioral Services
- Kristyna Fong
All providers in Ojai, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.