Individual provider Active NPI

Darlene Jo Fahmie, DPM

  • Podiatrist
  • El Cerrito, CA
National Provider Identifier
1679660013
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3401 Issued in CA
Practice address
7524 Fairmount Ave
El Cerrito, CA 94530
Phone
(510) 526-4244
Fax
(510) 526-9251
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3401 CA Primary

Addresses

Primary practice location

7524 Fairmount Ave
El Cerrito, CA 94530

Mailing address

7524 Fairmount Ave
El Cerrito, CA 94530
Phone (510) 526-4244

Other identifiers 1

IdentifierTypeStateIssuer
5151119MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110801000659 CA Practitioner - Podiatry 9436261864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairmount Podiatry GroupGroup PAC ID 5193933687, 2 clinicians

Practice addresses (Care Compare)

7524 Fairmount Ave
El Cerrito, CA 94530-3746
Phone (510) 526-4244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions1-10
Removal of nail tissue364
Removal or shaving of skin growth225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3401CAMDMarriage & Family Therapist
E3401CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairmount Podiatry Group Podiatrist CurrentSince May 18, 2011 Accepting new patients

Locations

7524 Fairmount Ave
El Cerrito, CA 94530
Phone (510) 526-4244

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1679660013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 FAIRMOUNT AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-526-4244",
            "fax_number": "510-526-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 FAIRMOUNT AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-526-4244",
            "fax_number": "510-526-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHMIE",
        "first_name": "DARLENE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

Verify at the official NPI Registry.