Fakhruddin S Kapadia, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C138320 Issued in CA

Practice address

1166 K St
Brawley, CA 92227-2737

Phone

(760) 344-9951

NPI assigned

Jul 31, 2006

Last updated

Mar 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1760497168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 ROSEBERRY CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294140",
            "telephone_number": "248-674-0401",
            "fax_number": "248-674-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 K ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272737",
            "telephone_number": "760-344-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4299 Roseberry Ct",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483294140",
            "country_code": "US",
            "telephone_number": "248-674-0401",
            "fax_number": "248-674-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "FAKHRUDDIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301032582",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C138320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1129822",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Roy Jongeward
• Douglas Juarez, M.D.
• Venessa Marie Jurado
• Frank Joseph Kadel, DO
• Dan Ward Kang
• Devendra S Kapoor, MD
• Kestutis V. Kuraitis, M.D., PH.D., Inc.
• Saima Khan, MD
• Mary Kay Klockmann, NP
• Michael Krutzik, MD

• Pediatrics Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.