Organization Active NPI

Praxis Infectious Diseases

  • Infectious Disease Physician
  • Lakeport, CA
National Provider Identifier
1669933776
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
PRAXIS INFECTIOUS DISEASES
Practice address
5176 Hill Rd E
Lakeport, CA 95453-6357
Phone
(628) 600-3589
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Fareed Ramzi Asfour, MDNPI 1447343496
Title
President
Phone
(628) 600-3589

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

5176 Hill Rd E
Lakeport, CA 95453-6357

Mailing address

1141 Catalina Dr # 194
Livermore, CA 94550-5928
Phone (628) 600-3589

Other practice location 1

4049 First St Ste 134
Livermore, CA 94551-4986
Phone (628) 600-3589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528001396 CA Part B Supplier - Clinic/Group Practice 9638412075 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeport, CA

National Provider Directory

National Provider Directory

Locations

120 Ward St
Unit 5010
Larkspur, CA 94977

1141 Catalina Dr
#194
Livermore, CA 94550

4049 1st St
Ste 134
Livermore, CA 94551
Phone (628) 600-3589

834 5th Ave
Ste 2
San Rafael, CA 94901
Phone (628) 600-3589

1674 US Highway 395 N
Ste 301
Minden, NV 89423

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1669933776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CATALINA DR # 194",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505928",
            "telephone_number": "628-600-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536357",
            "telephone_number": "628-600-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 First St Ste 134",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945514986",
            "country_code": "US",
            "telephone_number": "628-600-3589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAXIS INFECTIOUS DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "ASFOUR",
        "authorized_official_first_name": "FAREED",
        "authorized_official_middle_name": "RAMZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "628-600-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.