Alireza Fathi, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

A79581 Issued in CA

Practice address

17100 Euclid St
Department Picu Peds
Fountain Valley, CA 92708

Phone

(714) 966-7253

Fax

(714) 966-3354

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: afathimd16221@direct.memorialcare.org

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.

• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)
• South Counties Pediatric Critical Care Medical Group

  • Pediatric Critical Care Medicine Physician
  • Fountain Valley, CA
  • NPI 1609853688
  NPD (past)

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1992807523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "address_2": "DEPARTMENT PICU PEDS",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-966-7253",
            "fax_number": "714-966-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "address_2": "DEPARTMENT PICU PEDS",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-966-7253",
            "fax_number": "714-966-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHI",
        "first_name": "ALIREZA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A79581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Farjoodi, MD
• Craig Farmer, M.D.
• Farrokh Shadab MD Inc
• Amna Farrukh
• Farsio Dental Corporation
• Fazilath Fatima, MD
• Wadid Antoine Fattouch, DDS
• Marialice Faubel, PH.D.
• Erika Favela, IMF
• Sana Munawer Fazalbhoy

• Pediatric Critical Care Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatric Critical Care Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.