Rommie F. Fakhoury MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A89167 Issued in CA

Legal business name

ROMMIE F. FAKHOURY MD INC

Practice address

10601 Church St
Suite 110
Rancho Cucamonga, CA 91730-6863

Phone

(909) 989-7100

Fax

(909) 989-6333

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Rommie F Fakhoury, MDNPI 1528000643

Title

President

Phone

(909) 989-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Rommie Fakhoury, M.D. Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1811216096
  NPD tax ID

Locations

Practitioners 1

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

• Rommie Fawzi Fakhoury, MD

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1528000643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1851648067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CHURCH ST",
            "address_2": "SUITE 110",
            "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": "SUITE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306863",
            "telephone_number": "909-989-7100",
            "fax_number": "909-989-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMMIE F. FAKHOURY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "ROMMIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-989-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDIAL LICENSE",
            "identifier": "A89167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria G Romero
• Marissa Irene Romero
• Pedro Ismael Romero, MPT
• Robyn Renee Romero
• Savannah Romero
• Rommie Fakhoury, M.D. Inc.
• Valerie Romo
• Rose Roney
• Holly Ronquillo
• Rooted Chiropractic a Ramsey Corporation

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.