Individual provider Active NPI

Iman Fobia

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1730613019
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD210002929 Issued in DC
Practice address
2139 Georgia Ave NW FL 2
Washington, DC 20059-1029
Phone
(202) 806-9028
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A161943 CA
Family Medicine Physician 207Q00000X MD210002929 DC Primary

Addresses

Primary practice location

2139 Georgia Ave NW FL 2
Washington, DC 20059-1029

Mailing address

2139 Georgia Ave NW FL 2
Washington, DC 20059-1029
Phone (202) 806-9028

Other practice location 1

4445 Magnolia Ave, GME Office
Riverside Community Hospital
Riverside, CA 92501-4199
Phone (951) 788-3000

Other practice location 2

1971 University Avenue
Riverside, CA 92507
Phone (951) 384-6200

Other practice location 3

315 H St NE
Washington, DC 20002-5678
Phone (202) 975-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
88.38
Promoting interoperability
100
Improvement activities
40
Cost
73.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161943CAMDFamily Medicine Physician
MD210002929DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Healthcare PC Dba Allcare Family Medicine PastSince Feb 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iman.fobia@hca3.eclinicaldirectplus.com

Organizations & group practices 1

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1730613019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 GEORGIA AVE NW FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200591029",
            "telephone_number": "202-806-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 GEORGIA AVE NW FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200591029",
            "telephone_number": "202-806-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Magnolia Ave, GME Office",
            "address_2": "Riverside Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014199",
            "country_code": "US",
            "telephone_number": "951-788-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1971 University Avenue",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92507",
            "country_code": "US",
            "telephone_number": "951-384-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 H St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200025678",
            "country_code": "US",
            "telephone_number": "202-975-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOBIA",
        "first_name": "IMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A161943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD210002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.