Individual provider Active NPI

Fazeela Ferouz, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1689641482
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G85633 Issued in CA
Practice address
10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845
Phone
(714) 274-0388
Fax
(714) 647-1245
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G85633 CA
Anesthesiology Physician 207L00000X G85633 CA Primary

Addresses

Primary practice location

10760 Warner Ave Ste 102
Fountain Valley, CA 92708-3845

Mailing address

PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080

Other identifiers 1

IdentifierTypeStateIssuer
00G856330MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000726 CA Practitioner - Anesthesiology 4880664747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85633CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fazeela Ferouz MD Incorporated Anesthesiology CurrentSince Apr 30, 2003 Accepting new patients
SLR Medical Anesthesiology, PC Anesthesiology Past Accepting new patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

1741 W Romneya Dr
Ste B
Anaheim, CA 92801
Phone (714) 332-5000

10760 Warner Ave
Ste 102
Fountain Vly, CA 92708
Phone (714) 274-0388

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918

4626 Willow Rd
Ste 100
Pleasanton, CA 94588
Phone (925) 462-2334

15035 E 14th St
San Leandro, CA 94578
Phone (510) 276-2800

200 Porter Dr
Ste 100
San Ramon, CA 94583
Phone (925) 600-1900

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1689641482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 WARNER AVE STE 102",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083845",
            "telephone_number": "714-274-0388",
            "fax_number": "714-647-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROUZ",
        "first_name": "FAZEELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G85633",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G85633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G856330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.