SOORENA FATEHCHEHR MD INC
NPI 1750920153
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Long Beach, CA

Active since January 02, 2020
529 E 10TH ST FL 2, LONG BEACH, CA 90813(562) 491-9047(562) 491-9251 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Soorena Fatehchehr Md Inc NPPES

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

SOORENA FATEHCHEHR MD INC (NPI 1750920153) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Long Beach, California and active in the NPI registry since January 2020. The organization lists Soorena Fatehchehr, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750920153
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameSOORENA FATEHCHEHR MD INC
Location Address529 E 10TH ST FL 2Long Beach, CA 90813-4508
Mailing Address4250 Glencoe Ave Unit 1114Marina Del Rey, CA 90292-5660 · (310) 869-3212 · Fax (949) 502-8887
Fax(562) 491-9251
Organization SubpartNo
Authorized OfficialSoorena FatehchehrCeo · (310) 869-3212
Enumeration DateJanuary 2, 2020
✔ NPI 1750920153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
529 E 10TH ST FL 2, Long Beach, CA 90813

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Soorena Fatehchehr Md Inc 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 Soorena Fatehchehr MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1891081253
529 E 10TH ST FL 2
Long Beach, CA 90813
(562) 491-9047
✔ PECOS✔ Accepts MedicareSame address

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 Soorena Fatehchehr MD Inc's NPI number?

The NPI number for Soorena Fatehchehr MD Inc is 1750920153. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is Soorena Fatehchehr MD Inc located?

Soorena Fatehchehr MD Inc is located at 529 E 10th St Fl 2, Long Beach, CA 90813. The listed phone number is (562) 491-9047.

What is Soorena Fatehchehr MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Soorena Fatehchehr MD Inc enrolled in Medicare?

Yes. Soorena Fatehchehr MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soorena Fatehchehr MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Soorena Fatehchehr MD Inc. 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 Soorena Fatehchehr MD Inc was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.