NPIMap

Individual provider Active NPI

George Carr Fareed, MD

  • General Practice Physician
  • Brawley, CA
National Provider Identifier
1720074313
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G31850 Issued in CA
Practice address
751 W Legion Rd
Suite 105
Brawley, CA 92227-7754
Phone
(760) 344-8750
Fax
(760) 344-0558
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G31850 CA
Family Medicine Physician 207Q00000X G31850 CA
Surgery Physician 208600000X G31850 CA
General Practice Physician 208D00000X G31850 CA Primary

Addresses

Primary practice location

751 W Legion Rd
Suite 105
Brawley, CA 92227-7754

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000478 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal MedicinePractitioner - Other (Physician) 6709813017 Reassigns benefits to 2 organizations
Receives reassigned benefits from 6 practitioners
Practice locations: Brawley, CA; Calexico, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Harvard Medical School, 1970
Medicare assignment
May accept Medicare assignment
Group practices
Clinicas de Salud del Pueblo IncGroup PAC ID 5496657082, 42 clinicians
Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333

223 W Cole Blvd
Calexico, CA 92231-9722
Phone (760) 357-2020

630 S Brawley Ave
Suite 10
Brawley, CA 92227-3107
Phone (760) 623-1202

751 W Legion Rd
Brawley, CA 92227-7754
Phone (760) 344-8750

751 W Legion Rd
Suite 300
Brawley, CA 92227-7755
Phone (760) 351-4848

900 Main St
Brawley, CA 92227-2630
Phone (760) 344-6471

Hospital & facility affiliations

  • Assisting Hands Health Care Home health agency, Glendale, CA, CCN 559460
  • Uni Care Home Care Inc Home health agency, El Centro, CA, CCN 057415
  • Accentcare Home Health of California Inc Home health agency, El Centro, CA, CCN 557425
  • Trustedcare Home Health of Imperial Valley Home health agency, El Centro, CA, CCN 757487
  • Healthpeak Home Health Inc Home health agency, El Centro, CA, CCN 059480
  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Pioneers Memorial Skilled Nursing Center Nursing home, Brawley, CA, CCN 555557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue157
Removal of nail tissue1-10
Removal or shaving of skin growth16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G31850CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyson Medical Inc Family Medicine CurrentSince Mar 2, 2025 Accepting new patients
Tyson Medical Inc Family Medicine CurrentSince Mar 2, 2025 Accepting new patients
Araguas Podiatry Corp Past Accepting new patients
George C. Fareed, M.D. Family Medicine PastSince May 24, 1990 Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

630 S Brawley Ave
Ste 10
Brawley, CA 92227
Phone (760) 623-1202

400 Mary Ave
Ste 2
Calexico, CA 92231
Phone (760) 592-4351

1044 Cherry Valley Blvd
#430
Calimesa, CA 92320
Phone (760) 592-4351

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

Interoperability endpoints

  • Direct secure messaging: george.fareed.p1@direct.cdsdp.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pioneers Memorial Skilled Nursing FacilityBrawley, CA, CCN 555557 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 21, 2025
Mar 26, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1720074313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 105",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277754",
            "telephone_number": "760-344-8750",
            "fax_number": "760-344-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREED",
        "first_name": "GEORGE",
        "middle_name": "CARR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G31850",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G31850",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31850",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G31850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.