DR. FREDERICA FAYAD (NPI# 1982900684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982900684 |
| Entity Type | Individual |
| Full Name | DR. FREDERICA FAYAD |
| Credential | M.D |
| Practice Address |
22675 Alessandro Blvd Moreno Valley CA 92553-8551 |
| Mailing Address |
1 Choctaw Way Talihina OK 74571-2022 |
| Practice Telephone | 9515712350 |
| Mailing Telephone | 9185677000 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A133968 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 262864 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
22675 ALESSANDRO BLVD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-8551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639276306 | Dejerneria M. Marshall | Dentist | 22675 Alessandro Blvd, Moreno Valley, CA 92553 | 2006-09-17 |
| 1639633084 | Ian William Kirby | Nurse Practitioner | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2019-01-29 |
| 1932688264 | Manjinder Kaur | Nurse Practitioner | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2018-08-08 |
| 1568981413 | Manja Perilla | Nurse Practitioner | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2017-09-12 |
| 1316396351 | Sheila Loharuka | Internal Medicine | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2016-06-09 |
| 1710360250 | Megha Lalwani | Family Medicine | 22675 Alessandro Blvd, Moreno Valley, CA 92553 | 2015-07-01 |
| 1679912281 | Jeremy Huy Pham | Dentist | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2013-06-17 |
| 1841588928 | Meenu Sood | Pediatrics | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2011-07-11 |
| 1609173657 | Rosemarie Lava Cabati-ablir | Nurse Practitioner | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2011-02-26 |
| 1548414055 | Community Health Systems, Inc. | Internal Medicine | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2008-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124399860 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 24853 Alessandro Blvd., #4, Moreno Valley, CA 92553-6102 | 2012-01-25 |
| 1336155258 | David K Dong | Pediatrics | 12980 Frederick St Ste I, Moreno Valley, CA 92553-5263 | 2006-07-31 |
| 1285684605 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 11401 Heacock St, Suite 330, Moreno Valley, CA 92557-7908 | 2006-05-10 |
| 1659320497 | Rosemarie Tweed | Pediatrics | 14114 Business Center Drive, Ste A, Moreno Valley, CA 92553 | 2006-05-09 |
| 1477546414 | Menard Barruga | Pediatrics | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2005-08-24 |
| 1588665111 | Lillie Mae Williams | Pediatrics | 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 | 2005-08-04 |
| 1013329499 | My Nguyen | Pediatrics | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2014-05-20 |
| 1386902211 | Janice Tsai | Pediatrics | 11401 Heacock St, Suite 330, Moreno Valley, CA 92557-7908 | 2012-04-28 |
| 1053679035 | Jesse Oliver Tweed | Pediatrics | 14114 Business Center Dr Ste A, Moreno Valley, CA 92553-9113 | 2012-04-27 |
| 1841588928 | Meenu Sood | Pediatrics | 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 | 2011-07-11 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.