Fairmount Medical Clinic
Pediatrics in San Diego, CA. Organization (NPI-2).
NPI number1760655534
StatusActive
Last updated in NPPESApr 11, 2008
Details
- NPI
- 1760655534
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairmount Medical Clinic
- Organization subpart
- No
- Enumeration date
- Apr 11, 2008
- Last updated
- Apr 11, 2008
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 |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
4074 Fairmont AveSan Diego, CA 92105-1608
Phone 619-325-1819
Mailing address
4074 Fairmont AveSan Diego, CA 92105-1608
Phone 619-325-1819
Authorized official
Mohammed T Bailony
Owner
6194759174
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.
Other Pediatrics Physician providers in San Diego, CA
- Rachel A Abramson, MDNPI 1588707178
- Roula Soufi Adjan, M.D.NPI 1992847263
- Roxana Aghili, DONPI 1851927883
- Melody Crystal Albarran-Slovin, DNP, CPNP-PC, FNP-CNPI 1740953249
- Nicholas Kroesing Albino, MDNPI 1740843499
- Gali Aljadeff, MDNPI 1710565320
- Sudha Amatya, M.D.NPI 1790830511
- Milan Dipak Amin, MDNPI 1346829744
- Karie F Andersen, MDNPI 1295706760
- Gregor Andree, MDNPI 1467436063
All 477 Pediatrics Physician providers in San Diego · All 61,118 providers in San Diego
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.