Individual provider Active NPI

Meisam Fekri, M.D

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1831687581
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A174199 Issued in CA
Practice address
222 N Sunset Ave Ste F
West Covina, CA 91790-2278
Phone
(626) 430-6826
NPI assigned
Apr 27, 2018
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A174199 CA Primary

Addresses

Primary practice location

222 N Sunset Ave Ste F
West Covina, CA 91790-2278

Mailing address

741 S Orange Ave
West Covina, CA 91790-2662

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523001380 CA Practitioner - Internal Medicine 3274873153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

741 S Orange Ave
West Covina, CA 91790-2662
Phone (626) 430-6826

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174199CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unitary Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

222 N Sunset Ave
Ste F
West Covina, CA 91790
Phone (626) 338-1016

741 S Orange Ave
West Covina, CA 91790
Phone (626) 221-1392

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1831687581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE STE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-430-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEKRI",
        "first_name": "MEISAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.