MR. ALIREZA FATHI MD
NPI 1992807523
Pediatrics - Pediatric Critical Care Medicine in Fountain Valley, CA

Q: What is Alireza Fathi's NPI number?

The NPI number for Alireza Fathi is 1992807523. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Q: What is Alireza Fathi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Alireza Fathi was last updated on March 6, 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.

Active since September 03, 2006PECOS Enrolled

17100 EUCLID ST, DEPARTMENT PICU PEDS, FOUNTAIN VALLEY, CA 92708(714) 966-7253(714) 966-3354 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Alireza Fathi Md NPPES

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

MR. ALIREZA FATHI MD (NPI 1992807523) is an individual pediatric critical care medicine provider in Fountain Valley, California, licensed in California (A79581) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992807523

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMR. ALIREZA FATHICredential: MD

Location Address17100 EUCLID ST, DEPARTMENT PICU PEDSFountain Valley, CA 92708

Mailing Address17100 Euclid St, Department Picu PedsFountain Valley, CA 92708 · (714) 966-7253 · Fax (714) 966-3354

Phone(714) 966-7253

Fax(714) 966-3354

Sole ProprietorNo

Enumeration DateSeptember 3, 2006

Last NPPES UpdateMarch 6, 2008

✔ NPI 1992807523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A79581

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

17100 EUCLID ST, Fountain Valley, CA 92708

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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)

Mr. Alireza Fathi Md 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.

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Other Providers at the Same Location NPPES 20

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

HAI PHAM PHARM D

Pharmacist