Fidelis Diagnostics, Inc.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

FIDELIS DIAGNOSTICS, INC.

Practice address

11601 Wilshire Blvd
Suite 500
Los Angeles, CA 90025-0509

Phone

(877) 408-2488

Fax

(866) 776-6641

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mark Dorner

Title

Coo

Phone

(877) 408-2488

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jason McLain Blythe, DPM

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1174589527
  NPD (past)
• Alison Jo Cook, DPM, MS

  • Podiatrist
  • Hayward, CA
  • NPI 1518964360
  NPD (past)
• Donald R Marram, D.P.M

  • Foot Surgery Podiatrist
  • Tracy, CA
  • NPI 1467493635
  NPD (past)
• Tan Duy Nguyen, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • San Leandro, CA
  • NPI 1811026339
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1962460071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250509",
            "telephone_number": "877-408-2488",
            "fax_number": "866-776-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250509",
            "telephone_number": "877-408-2488",
            "fax_number": "866-776-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "DORNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-408-2488"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariola L Ficinski, MD
• Nichole Fickenscher
• Ficus Psych
• Mohsin Sikendar Fidai, M.D.
• Fidelia Hospice, Inc.
• Fidelity Speech and Voice Therapy, Inc.
• Morel Fidler, D.D.S
• Stephen Fiechter
• Charles Alexander Field
• Jillian Michelle Field, BCBA

• Electroneurodiagnostic Specialist/Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.