Organization Active NPI

Nomar Corporation

  • Family Medicine Physician
  • Norco, CA
National Provider Identifier
1912132754
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FNP 39009 Issued in CA
Legal business name
NOMAR CORPORATION
Doing business as
Baldy View Healthcare
Practice address
1780 Town and Country Dr
Suite #103
Norco, CA 92860-3617
Phone
(951) 270-0757
Fax
(951) 270-0758
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Ramon Fakhoury, M.D.NPI 1427266691
Title
Medical Director
Phone
(951) 270-0757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X FNP 39009 CA Primary

Addresses

Primary practice location

1780 Town and Country Dr
Suite #103
Norco, CA 92860-3617

Mailing address

PO Box 579
Norco, CA 92860-0579
Phone (951) 270-0757

Other names 1

  • Baldy View Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210126002632 CA Part B Supplier - Clinic/Group Practice 2769896166 Receives reassigned benefits from 1 practitioner
Practice locations: Norco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113708Baldy View Healthcare1780 Town and Country Dr Ste 103, Norco, CA 92860Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

1780 Town and Country Dr
Norco, CA 92860
Phone (951) 850-3942

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1912132754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600579",
            "telephone_number": "951-270-0757",
            "fax_number": "951-270-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 TOWN AND COUNTRY DR",
            "address_2": "SUITE #103",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603617",
            "telephone_number": "951-270-0757",
            "fax_number": "951-270-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-270-0757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "FNP 39009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldy View Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.