FIDELIS CARE MEDICAL CORP
NPI 1275324758
Internal Medicine in Long Beach, CA

Active since May 14, 2025
2520 GONDAR AVE, LONG BEACH, CA 90815(800) 757-9876 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fidelis Care Medical Corp NPPES

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

FIDELIS CARE MEDICAL CORP (NPI 1275324758) is a healthcare organization registered as an internal medicine in Long Beach, California and active in the NPI registry since May 2025. The organization lists Thomas Petit, Owner, as its authorized official.

NPPES Registry Identity

NPI1275324758
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFIDELIS CARE MEDICAL CORP
Location Address2520 GONDAR AVELong Beach, CA 90815-2216
Mailing Address2520 Gondar AveLong Beach, CA 90815-2216 · (800) 757-9876
Organization SubpartNo
Authorized OfficialThomas PetitOwner · (800) 757-9876
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1275324758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2520 GONDAR AVE, Long Beach, CA 90815

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Fidelis Care Medical Corp 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 Fidelis Care Medical Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1134423387
460 N UNIVERSITY DR
Pembroke Pines, FL 33024
(954) 437-4004
✔ PECOS✔ Accepts Medicare2,321 mi

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

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 Fidelis Care Medical Corp's NPI number?

The NPI number for Fidelis Care Medical Corp is 1275324758. It was assigned to this organization in the NPPES registry on May 14, 2025.

Where is Fidelis Care Medical Corp located?

Fidelis Care Medical Corp is located at 2520 Gondar Ave, Long Beach, CA 90815. The listed phone number is (800) 757-9876.

What is Fidelis Care Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fidelis Care Medical Corp enrolled in Medicare?

Yes. Fidelis Care Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fidelis Care Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Fidelis Care Medical Corp. 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.

When was this NPI record last updated?

The NPPES record for Fidelis Care Medical Corp was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.