Ashraf Gamil Fahim, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A69708 Issued in CA

Practice address

27372 Calle Arroyo
San Juan Capistrano, CA 92675-2746

Phone

(949) 388-9009

Fax

(949) 388-9665

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Juan Pediatrics Inc

  • Pediatrics Physician
  • San Juan Capistrano, CA
  • NPI 1073793790
  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1841389814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27372 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752746",
            "telephone_number": "949-388-9009",
            "fax_number": "949-388-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27372 CALLE ARROYO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752746",
            "telephone_number": "949-388-9009",
            "fax_number": "949-388-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32221 Camino Capistrano",
            "address_2": "Suite B103",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753721",
            "country_code": "US",
            "telephone_number": "949-388-9009",
            "fax_number": "949-388-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHIM",
        "first_name": "ASHRAF",
        "middle_name": "GAMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A69708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A697080",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A697080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Linda Espinoza Rodas, PHD MFT
• Jordan Espinoza
• Mason Stewart Ettinger, D.C.
• Patricia Evans, PTA
• Robert Kent Faber, DDS
• Faith by the Sea, Inc.
• Lauren Savage Faith, MA, BCBA
• Family Pharmacy LLC
• Yu-Hua Fang, M.D.
• Michele Claire Faraci-Horwich, RN

• Pediatrics Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 7, 2024; 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.