Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: 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 47 days 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.

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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