1. Home
  2. Directory
  3. California
  4. Moorpark
  5. Family Medicine
  6. NPI Profile

PATRIOT FAMILY MEDICINE
NPI 1114308343
Family Medicine in Moorpark, CA

Active since June 12, 2015CLIA 05D2103862 · Waiver
885 PATRIOT DR, UNIT F, MOORPARK, CA 93021(805) 334-1371 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patriot Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRIOT FAMILY MEDICINE (NPI 1114308343) is a healthcare organization registered as a family medicine in Moorpark, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Fadel Abdulhai, Physician, as its authorized official.

NPPES Registry Identity

NPI1114308343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFMA FAMILY PRACTICE INC
Location Address885 PATRIOT DR, UNIT FMoorpark, CA 93021-3361
Mailing Address885 Patriot Dr, Unit FMoorpark, CA 93021-3361 · (805) 334-1371
Phone(805) 334-1371
Organization SubpartNo
Authorized OfficialFadel AbdulhaiPhysician · (310) 738-4975
Enumeration DateJune 12, 2015
Last NPPES UpdateSeptember 22, 2015
✔ NPI 1114308343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A11553
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
885 PATRIOT DR, Moorpark, CA 93021
Open in Google Maps ↗

Other Names 1

Doing Business AsPatriot Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patriot Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patriot Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fadel Abdulhai, D.O.
Family Practice
NPI 1477797124
885 PATRIOT DR STE F
Moorpark, CA 93021
(805) 334-1371
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2103862

Patriot Family Medicine · Moorpark, CA
Active · expires Oct 20, 2027
CLIA Number05D2103862
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorFadel Abdulhai
Laboratory Phone(310) 738-4975
Laboratory LocationPatriot Family Medicine885 Patriot Dr Unit F, Moorpark, CA 93021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fma Family Practice Inc's NPI number?

The NPI number for Fma Family Practice Inc is 1114308343. It was assigned to this organization in the NPPES registry on June 12, 2015. The provider is doing business as Patriot Family Medicine.

Where is Fma Family Practice Inc located?

Fma Family Practice Inc is located at 885 Patriot Dr Unit F, Moorpark, CA 93021. The listed phone number is (805) 334-1371.

What is Fma Family Practice Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fma Family Practice Inc enrolled in Medicare?

Yes. Fma Family Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fma Family Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Fma Family Practice Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fma Family Practice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2103862) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fma Family Practice Inc was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.