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FARAH NIDA IMAM M.D.
NPI 1437414380
Family Medicine in Fontana, CA

Active since July 06, 2012PECOS Enrolled
16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336(909) 823-8000(909) 823-8088 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Feb 13, 2023 (2 updates tracked since 2023).

About Farah Nida Imam M.d. NPPES

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

FARAH NIDA IMAM M.D. (NPI 1437414380) is an individual family medicine provider in Fontana, California, licensed in California (A132422) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437414380
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFARAH NIDA IMAMCredential: M.D.
Location Address16465 SIERRA LAKES PKWY STE 115Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · (909) 823-8000 · Fax (909) 823-8088
Phone(909) 823-8000
Fax(909) 823-8088
Sole ProprietorNo
Enumeration DateJuly 6, 2012
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1437414380 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 · A132422
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.
16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336
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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)

Farah Nida Imam M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

GOLDEN STATE PRIMARY CARE INC
General Practice
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
YARELI RENOVATO MA
Community Health Worker
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
JOSE I ARCINIEGA D.O.
Family Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
DR. MARIA RELENTE-SANTOS MD
Internal Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
NELLY LIM PA-C
Physician Assistant
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
HAROLD MACAPAGAL PAGULAYAN
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
SARA BOGHOSIAN FNP-C
Nurse Practitioner
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
DR. XU LONG HE D.O
Internal Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000

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 Farah Imam's NPI number?

The NPI number for Farah Imam is 1437414380. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Farah Imam located?

Farah Imam practices at 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336. The listed phone number is (909) 823-8000.

What is Farah Imam's specialty?

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

Is Farah Imam enrolled in Medicare?

Yes. Farah Imam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Farah Imam was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.