Look up the most recent NPI and PECOS records

Providence Facey Medical Foundation

(Facey Medical Group)

Internal Medicine

Allopathic & Osteopathic Physicians

26357 Mcbean Pkwy, Valencia, CA 91355-4488

PECOS Enrollment

Based on the most recent information from CMS, provider Providence Facey Medical Foundation does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1710031588
Provider Type
Organization
Full Name
Providence Facey Medical Foundation
Other Name
Facey Medical Group

Subpart
No
Enumeration Date
1/22/2007
Last Updated
3/3/2021

Contact Information

Practice Location

26357 Mcbean Pkwy, Valencia, CA 91355-4488

(661) 222-2600

Unlisted Fax

Mailing Location

PO Box 9602, Mission Hills, CA 91346-9602

(818) 837-5637

(818) 792-4793

Authorized Official

Anderson, Donald Wayne (Assistant Secretary For Enrollment)

(425) 525-5392

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207N00000X	Description Dermatology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RE0101X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RR0500X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207W00000X	Description Ophthalmology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208800000X	Description Urology Allopathic & Osteopathic Physicians	License Unlisted Issuer

Providence Facey Medical Foundation

(Facey Medical Group)

PECOS Enrollment

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