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DR. ALIA GHONEUM MD/PHD
NPI 1215622568
Student in an Organized Health Care Education/Training Program in Fairfield, CA

Active since April 11, 2023PECOS Enrolled
1550 GATEWAY BLVD, FAIRFIELD, CA 94533(707) 427-4310 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 7, 2026, Apr 11, 2023 (2 updates tracked since 2023).

About Dr. Alia Ghoneum Md/phd NPPES

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

DR. ALIA GHONEUM MD/PHD (NPI 1215622568) is an individual student in an organized health care education/training program in Fairfield, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215622568
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALIA GHONEUMCredential: MD/PHD
Location Address1550 GATEWAY BLVDFairfield, CA 94533-6901
Mailing Address1550 Gateway BlvdFairfield, CA 94533-6900 · (707) 427-4310
Phone(707) 427-4310
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1215622568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1550 GATEWAY BLVD, Fairfield, CA 94533
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alia Ghoneum Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alia Ghoneum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
14 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMAN MUSALLAM
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4208
HEATHER MARTIN PHARMD
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4302
NANCY M OHAMA O.D.
Optometrist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4040
JOHANNA M CARDOZA MD
Family Medicine
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4000
KIMBERLY ALLISON GORDON PHARM.D.
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (802) 779-1494
CHRISTI KLIMISCH LOMBRE MD
Pediatrics
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4048
DANIEL A. SCHLESKE MD
Pediatrics
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4000
MRS. ANNA NHAT NGUYEN PHARM.D.
Pharmacist
1550 GATEWAY BLVD
FAIRFIELD, CA 94533
Solano County (707) 427-4428

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 Alia Ghoneum's NPI number?

The NPI number for Alia Ghoneum is 1215622568. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Alia Ghoneum located?

Alia Ghoneum practices at 1550 Gateway Blvd, Fairfield, CA 94533. The listed phone number is (707) 427-4310.

What is Alia Ghoneum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alia Ghoneum enrolled in Medicare?

Yes. Alia Ghoneum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alia Ghoneum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alia Ghoneum reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Alia Ghoneum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alia Ghoneum was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.