Active NPI
Harold Gavino Fajardo, M.D.
- Psychiatry Physician
- Rowland Heights, CA
National Provider Identifier
1811313505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A41420
- Practice address
- 2009 Avenida del Canada
Rowland Heights, CA 91748-4173 - Phone
- (626) 758-2702
- Fax
- (626) 965-2922
- NPI assigned
- Mar 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A41420 | AZ | Primary |
Addresses
Primary practice location
2009 Avenida del Canada
Rowland Heights, CA 91748-4173
Mailing address
2009 Avenida del Canada
Rowland Heights, CA 91748-4173
Phone (626) 758-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41420 | AZ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1811313505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 AVENIDA DEL CANADA",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484173",
"telephone_number": "626-758-2702",
"fax_number": "626-965-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 AVENIDA DEL CANADA",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917484173",
"telephone_number": "626-758-2702",
"fax_number": "626-965-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "HAROLD",
"middle_name": "GAVINO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "A41420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.