Organization Active NPI

Rommie Fakhoury, M.D. Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1811216096
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89167 Issued in CA
Legal business name
ROMMIE FAKHOURY, M.D. INC.
Practice address
10601 Church St
Ste 105
Rancho Cucamonga, CA 91730-6863
Phone
(909) 989-7100
Fax
(909) 989-6333
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Rommie F Fakhoury, M.D.NPI 1528000643
Title
Medical Director
Phone
(909) 989-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A89167 CA Primary

Addresses

Primary practice location

10601 Church St
Ste 105
Rancho Cucamonga, CA 91730-6863

Mailing address

10601 Church St
Ste 105
Rancho Cucamonga, CA 91730-6863
Phone (909) 989-7100

National Provider Directory

National Provider Directory
Tax ID family
Rommie F Fakhoury MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1811216096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CHURCH ST",
            "address_2": "STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306863",
            "telephone_number": "909-989-7100",
            "fax_number": "909-989-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CHURCH ST",
            "address_2": "STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306863",
            "telephone_number": "909-989-7100",
            "fax_number": "909-989-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMMIE FAKHOURY, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "ROMMIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-989-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.