CARLOS FAYARD PHD
NPI 1669404737
Psychologist in Loma Linda, CA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11374 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354(909) 558-4505 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Fayard Phd NPPES

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

CARLOS FAYARD PHD (NPI 1669404737) is an individual psychologist in Loma Linda, California, licensed in California (PSY12024) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1669404737
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCARLOS FAYARDCredential: PHD
Location Address11374 MOUNTAIN VIEW AVE, SUITE ALoma Linda, CA 92354-3830
Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 26, 2007
✔ NPI 1669404737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY12024
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11374 MOUNTAIN VIEW AVE, Loma Linda, CA 92354

Other Identifiers 3

MedicaidPSY120240CA
Medicare PIN0PL120241CA
Medicare UPINR23944

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Fayard Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294809976
PECOS Enrollment IDI20080729000438
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 Reassignments

2

Medicare enrollment records show Carlos Fayard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
25865 BARTON RD
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Community/Behavioral Health
1020 IOWA AVE, SUITE B
Riverside, CA 92507
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Psychiatry)
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Internal Medicine
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Physical Therapist
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Psychologist
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Psychiatry & Neurology (Psychiatry)
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Internal Medicine
11374 MOUNTAIN VIEW AVE, SUITE A
LOMA LINDA, CA 92354
Psychologist
11374 MOUNTAIN VIEW AVE, STE A
LOMA LINDA, CA 92354
Community Health Worker
11374 MOUNTAIN VIEW AVE
LOMA LINDA, CA 92354

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 Carlos Fayard's NPI number?

The NPI number for Carlos Fayard is 1669404737. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Carlos Fayard located?

Carlos Fayard practices at 11374 Mountain View Ave Suite A, Loma Linda, CA 92354. The listed phone number is (909) 558-4505.

What is Carlos Fayard's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carlos Fayard enrolled in Medicare?

Yes. Carlos Fayard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carlos Fayard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Fayard reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and County Of Riverside (Riverside, CA). Each 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 Carlos Fayard'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 Carlos Fayard was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.