Monique Kenien Fah, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14749TLG Issued in CA

Practice address

26665 Seagull Way
Malibu, CA 90265-4547

Phone

(818) 667-5529

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Monique Nadine Kenien Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fyidoctors of California, Inc.

  • Optometrist
  • Roseville, CA
  • NPI 1437718418
  NPD (past)
• West Valley Optometry, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canoga Park, CA
  • NPI 1205982584
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1972937597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4477",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916170477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26665 SEAGULL WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654547",
            "telephone_number": "818-667-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAH",
        "first_name": "MONIQUE",
        "middle_name": "KENIEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14749TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "KENIEN",
            "middle_name": "NADINE",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Eloff, FNP-BC
• Shabnam Ensafi, PHARM.D.
• Julia Heather Entis, LCSW
• Estus Medical Inc
• Janet Ettenger, CD
• Chanel Christine Ferrante
• Adrian Finkelstein, M.D.
• Katherine Jane Frame, L.AC
• Kent Francisco, D.D.S.
• Carole A Garcia, MFT

• Optometrist in Malibu, CA
• Providers in Malibu, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.