Individual provider Active NPI

Fawaz Saeed Omar Al Ammary, M.D.

  • Nephrology Physician
  • Orange, CA
National Provider Identifier
1992918916
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DR.0048953 Issued in CO
Practice address
101 The City Dr S BLDG 29
Orange, CA 92868-3201
Phone
(714) 456-7002
Fax
(714) 456-2949
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6287 AK
Internal Medicine Physician 207R00000X MD433229 PA
Internal Medicine Physician 207R00000X 35 . 090396 OH
Internal Medicine Physician 207R00000X A99785 CA
Hospitalist Physician 208M00000X 35 . 090396 OH
Hospitalist Physician 208M00000X D78764 MD
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X DR.0048953 CO Primary

Addresses

Primary practice location

101 The City Dr S BLDG 29
Orange, CA 92868-3201

Mailing address

333 City Blvd W Ste 400
Orange, CA 92868-2994
Phone (714) 456-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221015000065 CA Practitioner - NephrologyPractitioner - Internal Medicine 4385732593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 7315841434, 5 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6287AKMDInternal Medicine Physician
A99785CAMDInternal Medicine Physician
35 . 090396OHMDInternal Medicine Physician
MD433229PAMDInternal Medicine Physician
D78764MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Nephrology CurrentSince Jan 1, 2023 Accepting new patients
UC Regents CurrentSince Nov 1, 2022 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Nephrology CurrentSince Nov 1, 2022 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
UC Regents Internal Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Brighton Community Hospital Association Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

101 The City Dr S
Bldg 25B
Orange, CA 92868

1809 W Chapman Ave
Orange, CA 92868
Phone (714) 634-3583

12456 Beach Blvd
Stanton, CA 90680
Phone (714) 373-9447

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1992918916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682994",
            "telephone_number": "714-456-5142",
            "fax_number": "714-456-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S BLDG 29",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-7002",
            "fax_number": "714-456-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL AMMARY",
        "first_name": "FAWAZ",
        "middle_name": "SAEED OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "6287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD433229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35 . 090396",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99785",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35 . 090396",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D78764",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "DR.0048953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.