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FAIRMOUNT MEDICAL CLINIC
NPI 1760655534
Pediatrics in San Diego, CA

Active since April 11, 2008
4074 FAIRMONT AVE, SAN DIEGO, CA 92105(619) 325-1819 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairmount Medical Clinic NPPES

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

FAIRMOUNT MEDICAL CLINIC (NPI 1760655534) is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since April 2008. The organization lists Mohammed T Bailony, Owner, as its authorized official.

NPPES Registry Identity

NPI1760655534
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFAIRMOUNT MEDICAL CLINIC
Location Address4074 FAIRMONT AVESan Diego, CA 92105-1608
Mailing Address4074 Fairmont AveSan Diego, CA 92105-1608 · (619) 325-1819
Phone(619) 325-1819
Organization SubpartNo
Authorized OfficialMohammed T BailonyOwner · (619) 475-9174
Enumeration DateApril 11, 2008
✔ NPI 1760655534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
4074 FAIRMONT AVE, San Diego, CA 92105
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Fairmount Medical Clinic's NPI number?

The NPI number for Fairmount Medical Clinic is 1760655534. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Fairmount Medical Clinic located?

Fairmount Medical Clinic is located at 4074 Fairmont Ave, San Diego, CA 92105. The listed phone number is (619) 325-1819.

What is Fairmount Medical Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Fairmount Medical Clinic was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.