Anthony Fam, M.D., a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANTHONY FAM, M.D., A PROFESSIONAL MEDICAL CORPORATION

Practice address

1665 Union St Ste a
San Diego, CA 92101-2906

Phone

(619) 663-5344

Fax

(619) 373-9206

NPI assigned

Jan 24, 2025

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Fam, M.D.NPI 1114245800

Title

Owner

Phone

(619) 663-5344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Farid Fam, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1114245800
  Medicare reassignment NPD Authorized official
• Danielle Marie Fam, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1932427622

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1881406999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PACIFIC HWY UNIT 1606",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 UNION ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012906",
            "telephone_number": "619-663-5344",
            "fax_number": "619-373-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY FAM, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-663-5344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Evan Antes
• Kelly Marie Antes, MSW
• Robert Michael Anthenelli, M.D.
• Allison Fay Anthis, LCSW
• Anthony a Le DDS Prof Corp
• Anthony Hatch, DDS, Inc. (Scripps Rock Dental)
• Anthony J Cuomo MD Inc
• Anthony J. Scoma, DDS Inc. (Seaside Pediatric Dentistry & Orthodontics)
• Anthony P. Potente, Ms, DDS, Apc
• Anthony Tai Q. Pham, DDS, Inc.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.