Fairview Hospital
Clinic/Center, Primary Care in Daly City, CA. Organization (NPI-2).
Details
- NPI
- 1407989759
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairview Hospital
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 33899 | CA | Yes |
Practice location
901 Campus DrSuite 210
Daly City, CA 94015-4900
Phone 650-994-3000 · Fax 650-994-3004
Mailing address
22338 Sharon LnFairview Park, OH 44126-2543
Phone 440-779-1615
Authorized official
Merlita Borja Evangelista
Pediatrician
4407791615
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Primary Care Clinic/Center providers in Daly City · All 2,072 providers in Daly City
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