NEIL D FAGEN MD
NPI 1700878428
Internal Medicine - Gastroenterology in Tarzana, CA

Q: What is Neil Fagen's NPI number?

The NPI number for Neil Fagen is 1700878428. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Neil Fagen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Neil Fagen was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 18, 2005

18411 CLARK ST STE 204, TARZANA, CA 91356(818) 996-4796(818) 996-4793 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Neil D Fagen Md NPPES

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

NEIL D FAGEN MD (NPI 1700878428) is an individual gastroenterology provider in Tarzana, California, licensed in California (G29304) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1700878428

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNEIL D FAGENCredential: MD

Location Address18411 CLARK ST STE 204Tarzana, CA 91356-3535

Mailing Address18411 Clark St Ste 204Tarzana, CA 91356-3535 · (818) 996-4796 · Fax (818) 996-4793

Phone(818) 996-4796

Fax(818) 996-4793

Sole ProprietorYes

Enumeration DateAugust 18, 2005

Last NPPES UpdateNovember 9, 2010

✔ NPI 1700878428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · G29304

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

18411 CLARK ST STE 204, Tarzana, CA 91356

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Other Identifiers 3

Medicaid00G293040CA

Medicare ID-Type UnspecifiedG29304CA

Medicare UPINA44010

Other Providers at the Same Location NPPES

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

MICHAEL MADIEVSKY,M.D.

Internal Medicine (Gastroenterology)

18411 CLARK ST STE 204
TARZANA, CA 91356

Los Angeles County (818) 996-4796

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 Neil Fagen's NPI number?

The NPI number for Neil Fagen is 1700878428. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Neil Fagen located?

Neil Fagen practices at 18411 Clark St Ste 204, Tarzana, CA 91356. The listed phone number is (818) 996-4796.

What is Neil Fagen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Neil Fagen was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.