Individual provider Active NPI

Emad S Fahmy, DDS

  • Dentist
  • Walnut, CA
National Provider Identifier
1790926608
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39793 Issued in CA
Practice address
18758 Amar Rd
Walnut, CA 91789-4169
Phone
(626) 912-5599
Fax
(626) 912-6180
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39793 CA Primary

Addresses

Primary practice location

18758 Amar Rd
Walnut, CA 91789-4169

Mailing address

18758 Amar Rd
Walnut, CA 91789-4169
Phone (626) 912-5599

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
I20160324000336 CA Order and Referring Only - DentistPractitioner - Dentist 6406153139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39793CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Hills Family Dentistry Dentist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1790926608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18758 AMAR RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894169",
            "telephone_number": "626-912-5599",
            "fax_number": "626-912-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18758 AMAR RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894169",
            "telephone_number": "626-912-5599",
            "fax_number": "626-912-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHMY",
        "first_name": "EMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.